24D1016446 CLIA NUMBER - MAPLEWOOD VA OPC

Laboratory Demographics

  • CLIA Code: 24D1016446
  • Facility Name: MAPLEWOOD VA OPC
  • Facility Address: 1725 LEGACY PARKWAY
    MAPLEWOOD, MN
    ZIP 55109
  • Facility Phone: 651 290-3040
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JUSTIN PELTOLA
  • NPI Number: 1992866032
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1016446
LAB Type Community Clinic
Facility Name MAPLEWOOD VA OPC
Street 1725 LEGACY PARKWAY
City MAPLEWOOD
State MN
ZIP 55109
Phone 651 290-3040
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 8/28/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JUSTIN PELTOLA

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This page was last updated on: 6/4/2025