24D1041852 CLIA NUMBER - MINNEAPOLIS HEART INSTITUTE

Laboratory Demographics

CLIA Number: 24D1041852

Facility Name: MINNEAPOLIS HEART INSTITUTE

Facility Address:
920 E 28TH STREET SUITE 620
MINNEAPOLIS, MN
ZIP 55407
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Facility Phone Number: 612 863-1661

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1699307967

Taxonomy: 101YP2500X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	24D1041852
LAB Type	Independent
Facility Name	MINNEAPOLIS HEART INSTITUTE
Street	920 E 28TH STREET SUITE 620
City	MINNEAPOLIS
State	MN
ZIP	55407
Phone	612 863-1661
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024