24D1002396 CLIA NUMBER - MINNESOTA ONCOLOGY HEMATOLOGY PA

Laboratory Demographics

CLIA Number: 24D1002396

Facility Name: MINNESOTA ONCOLOGY HEMATOLOGY PA

Facility Address:
6025 LAKE ROAD SUITE 110
WOODBURY, MN
ZIP 55125
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Facility Phone Number: 651 602-5359

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1215318480

Taxonomy: 235Z00000X - Speech-Language Pathologist
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

CLIA Record

Field Name	Field Value
CLIA Number	24D1002396
LAB Type	Physician Office
Facility Name	MINNESOTA ONCOLOGY HEMATOLOGY PA
Street	6025 LAKE ROAD SUITE 110
City	WOODBURY
State	MN
ZIP	55125
Phone	651 602-5359
CertificateType	1
CertificateEffectiveDate	10/16/2023
CertificateExpirationDate	10/15/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024