24D1049217 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - BLAINE

Laboratory Demographics

  • CLIA Code: 24D1049217
  • Facility Name: M HEALTH FAIRVIEW CLINIC - BLAINE
  • Facility Address: 10961 CLUB WEST PARKWAY NE
    BLAINE, MN
    ZIP 55449
  • Facility Phone: 763 572-5710
  • Facility Type: Other
  • Facility Type: Accreditation
  • Lab Director: BECKY ISAACS
  • NPI Number: 1417277294
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1049217
LAB Type Other
Facility Name M HEALTH FAIRVIEW CLINIC - BLAINE
Street 10961 CLUB WEST PARKWAY NE
City BLAINE
State MN
ZIP 55449
Phone 763 572-5710
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 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Other
Lab Director BECKY ISAACS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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