24D2011714 CLIA NUMBER - THE URGENCY ROOM WOODBURY (MEDICOR)

Laboratory Demographics

  • CLIA Code: 24D2011714
  • Facility Name: THE URGENCY ROOM WOODBURY (MEDICOR)
  • Facility Address: 7115 TAMARACK ROAD #150
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 952 857-1533
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BRENDA KATZ
  • NPI Number: 1972734721
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2011714
LAB Type Physician Office
Facility Name THE URGENCY ROOM WOODBURY (MEDICOR)
Street 7115 TAMARACK ROAD #150
City WOODBURY
State MN
ZIP 55125
Phone 952 857-1533
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 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director BRENDA KATZ

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