24D1037029 CLIA NUMBER - TRIA ORTHOPEDIC CENTER ASC LLC

Laboratory Demographics

  • CLIA Code: 24D1037029
  • Facility Name: TRIA ORTHOPEDIC CENTER ASC LLC
  • Facility Address: 8100 NORTHLAND DRIVE
    BLOOMINGTON, MN
    ZIP 55431
  • Facility Phone: 952 831-8742
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARY HAUGEN
  • NPI Number: 1164197539
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 24D1037029
LAB Type Ambulatory Surgery Center
Facility Name TRIA ORTHOPEDIC CENTER ASC LLC
Street 8100 NORTHLAND DRIVE
City BLOOMINGTON
State MN
ZIP 55431
Phone 952 831-8742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Ambulatory Surgery Center
Lab Director MARY HAUGEN

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