24D1016160 CLIA NUMBER - MN SPINE AND SPORT

Laboratory Demographics

  • CLIA Code: 24D1016160
  • Facility Name: MN SPINE AND SPORT
  • Facility Address: 8360 CITY CENTRE DR, SUITE 120
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 651 459-3171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT M. SCHREIBER
  • NPI Number: 1942413604
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D1016160
LAB Type Physician Office
Facility Name MN SPINE AND SPORT
Street 8360 CITY CENTRE DR, SUITE 120
City WOODBURY
State MN
ZIP 55125
Phone 651 459-3171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Physician Office
Lab Director SCOTT M. SCHREIBER

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