24D1046857 CLIA NUMBER - FAIRVIEW HUGO CLINIC

Laboratory Demographics

  • CLIA Code: 24D1046857
  • Facility Name: FAIRVIEW HUGO CLINIC
  • Facility Address: 14712 VICTOR HUGO BLVD
    HUGO, MN
    ZIP 55038
  • Facility Phone: 651 466-1900
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MRS. LISA KARNIK
  • NPI Number: 1518111772
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1046857
LAB Type Physician Office
Facility Name FAIRVIEW HUGO CLINIC
Street 14712 VICTOR HUGO BLVD
City HUGO
State MN
ZIP 55038
Phone 651 466-1900
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 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director MRS. LISA KARNIK

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