24D1049224 CLIA NUMBER - M HEALTH FAIRVIEW CHILDREN'S CLINIC - UNIVERSITY

Laboratory Demographics

  • CLIA Code: 24D1049224
  • Facility Name: M HEALTH FAIRVIEW CHILDREN'S CLINIC - UNIVERSITY
  • Facility Address: 2535 UNIVERSITY AVE SE
    MINNEAPOLIS, MN
    ZIP 55414
  • Facility Phone: 612 672-1051
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: STEPHANIE M. HARBAUGH
  • NPI Number: 1972966281
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 24D1049224
LAB Type Community Clinic
Facility Name M HEALTH FAIRVIEW CHILDREN'S CLINIC - UNIVERSITY
Street 2535 UNIVERSITY AVE SE
City MINNEAPOLIS
State MN
ZIP 55414
Phone 612 672-1051
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 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Community Clinic
Lab Director STEPHANIE M. HARBAUGH

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