24D1082806 CLIA NUMBER - AXIS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 24D1082806
  • Facility Name: AXIS MEDICAL CENTER
  • Facility Address: 1801 NICOLLET AVE
    MINNEAPOLIS, MN
    ZIP 55403
  • Facility Phone: 612 767-0829
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: CRISPIN SEMAKULA
  • NPI Number: 1831358324
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1082806
LAB Type Federally Qualified Health Center
Facility Name AXIS MEDICAL CENTER
Street 1801 NICOLLET AVE
City MINNEAPOLIS
State MN
ZIP 55403
Phone 612 767-0829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Federally Qualified Health Center
Lab Director CRISPIN SEMAKULA

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