24D1025130 CLIA NUMBER - EDINA FAMILY PHYSICIANS IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 24D1025130
  • Facility Name: EDINA FAMILY PHYSICIANS IMAGING CENTER
  • Facility Address: 5203 VERNON AVE SOUTH
    EDINA, MN
    ZIP 55436
  • Facility Phone: 652 428-0950
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. HEIDI D. LEHRKE
  • NPI Number: 1144258849
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D1025130
LAB Type Community Clinic
Facility Name EDINA FAMILY PHYSICIANS IMAGING CENTER
Street 5203 VERNON AVE SOUTH
City EDINA
State MN
ZIP 55436
Phone 652 428-0950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Community Clinic
Lab Director DR. HEIDI D. LEHRKE

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