24D1002396 CLIA NUMBER - MINNESOTA ONCOLOGY HEMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 24D1002396
  • Facility Name: MINNESOTA ONCOLOGY HEMATOLOGY PA
  • Facility Address: 6025 LAKE ROAD SUITE 110
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 651 602-5359
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. GAURI G. NAGARGOJE
  • NPI Number: 1215318480
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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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
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 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director DR. GAURI G. NAGARGOJE

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