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

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Laboratory Demographics

CLIA Number: 24D2011714

Facility Name: THE URGENCY ROOM WOODBURY (MEDICOR)

Facility Address:
7115 TAMARACK ROAD #150
WOODBURY, MN
ZIP 55125
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Facility Phone Number: 651 789-7000

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1972734721

Taxonomy: 261QU0200X - Clinic/Center

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	651 789-7000
CertificateType	1
CertificateEffectiveDate	6/8/2023
CertificateExpirationDate	6/7/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024