24D0953063 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - ANDOVER

Laboratory Demographics

  • CLIA Code: 24D0953063
  • Facility Name: M HEALTH FAIRVIEW CLINIC - ANDOVER
  • Facility Address: 13819 HANSON BOULEVARD NORTHWEST
    ANDOVER, MN
    ZIP 55304
  • Facility Phone: 763 572-5710
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: NANCY JUDY
  • NPI Number: 1861674665
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 24D0953063
LAB Type Physician Office
Facility Name M HEALTH FAIRVIEW CLINIC - ANDOVER
Street 13819 HANSON BOULEVARD NORTHWEST
City ANDOVER
State MN
ZIP 55304
Phone 763 572-5710
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 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director NANCY JUDY

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