24D1098747 CLIA NUMBER - MINNESOTA UROLOGY

Laboratory Demographics

  • CLIA Code: 24D1098747
  • Facility Name: MINNESOTA UROLOGY
  • Facility Address: SHAKOPEE SPECIALTY CLINIC 1515 ST FRANCIS AVENUE #250
    SHAKOPEE, MN
    ZIP 55379
  • Facility Phone: 651 999-2771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEONE RITZ
  • NPI Number: 1427773225
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 24D1098747
LAB Type Physician Office
Facility Name MINNESOTA UROLOGY
Street SHAKOPEE SPECIALTY CLINIC 1515 ST FRANCIS AVENUE #250
City SHAKOPEE
State MN
ZIP 55379
Phone 651 999-2771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director LEONE RITZ

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