24D0941889 CLIA NUMBER - RIVERWAY CLINIC - ANDOVER

Laboratory Demographics

  • CLIA Code: 24D0941889
  • Facility Name: RIVERWAY CLINIC - ANDOVER
  • Facility Address: 15245 BLUEBIRD STREET NW
    ANDOVER, MN
    ZIP 55304
  • Facility Phone: 763 587-4616
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ANNIE MEARES
  • NPI Number: 1730240649
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D0941889
LAB Type Physician Office
Facility Name RIVERWAY CLINIC - ANDOVER
Street 15245 BLUEBIRD STREET NW
City ANDOVER
State MN
ZIP 55304
Phone 763 587-4616
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director DR. ANNIE MEARES

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This page was last updated on: 9/29/2025