24D1097621 CLIA NUMBER - PRIDE INSTITUTE

Laboratory Demographics

  • CLIA Code: 24D1097621
  • Facility Name: PRIDE INSTITUTE
  • Facility Address: 14400 MARTIN DRIVE
    EDEN PRAIRIE, MN
    ZIP 55344
  • Facility Phone: 952 345-1881
  • Facility Type: Other - SUBSTANCE USE DISORDER IN
  • Facility Type: Waiver
  • Lab Director: XIANGYANG ZHAO
  • NPI Number: 1699141358
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1097621
LAB Type Other - SUBSTANCE USE DISORDER IN
Facility Name PRIDE INSTITUTE
Street 14400 MARTIN DRIVE
City EDEN PRAIRIE
State MN
ZIP 55344
Phone 952 345-1881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Other - SUBSTANCE USE DISORDER IN
Lab Director XIANGYANG ZHAO

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