24D0969615 CLIA NUMBER - METROPOLITAN HEART AND VASCULAR INSTITUTE

Laboratory Demographics

  • CLIA Code: 24D0969615
  • Facility Name: METROPOLITAN HEART AND VASCULAR INSTITUTE
  • Facility Address: 4040 COON RAPIDS BLVD STE 120
    COON RAPIDS, MN
    ZIP 55433
  • Facility Phone: 763 236-9196
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN REMOLE
  • NPI Number: 1225076136
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0969615
LAB Type Physician Office
Facility Name METROPOLITAN HEART AND VASCULAR INSTITUTE
Street 4040 COON RAPIDS BLVD STE 120
City COON RAPIDS
State MN
ZIP 55433
Phone 763 236-9196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director STEPHEN REMOLE

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