24D2018496 CLIA NUMBER - RIDGEVIEW TWO TWELVE MEDICAL CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 24D2018496
  • Facility Name: RIDGEVIEW TWO TWELVE MEDICAL CENTER LABORATORY
  • Facility Address: 111 HUNDERTMARK ROAD SUITE 310
    CHASKA, MN
    ZIP 55318
  • Facility Phone: 952 361-2448
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SUSAN H. BOWERS
  • NPI Number: 1407461072
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D2018496
LAB Type Hospital
Facility Name RIDGEVIEW TWO TWELVE MEDICAL CENTER LABORATORY
Street 111 HUNDERTMARK ROAD SUITE 310
City CHASKA
State MN
ZIP 55318
Phone 952 361-2448
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 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Hospital
Lab Director DR. SUSAN H. BOWERS

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