24D2003933 CLIA NUMBER - MINNESOTA PERINATAL PHYSICIANS CLINIC SOUTHWEST

Laboratory Demographics

  • CLIA Code: 24D2003933
  • Facility Name: MINNESOTA PERINATAL PHYSICIANS CLINIC SOUTHWEST
  • Facility Address: 6525 FRANCE AVE S, SUITE 205
    EDINA, MN
    ZIP 55435
  • Facility Phone: 612 775-2999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MILTON DATTA
  • NPI Number: 1033365853
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2003933
LAB Type Physician Office
Facility Name MINNESOTA PERINATAL PHYSICIANS CLINIC SOUTHWEST
Street 6525 FRANCE AVE S, SUITE 205
City EDINA
State MN
ZIP 55435
Phone 612 775-2999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director MILTON DATTA

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