24D2024527 CLIA NUMBER - TWIN CITIES PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 24D2024527
  • Facility Name: TWIN CITIES PAIN CLINIC
  • Facility Address: 7235 OHMS LN
    EDINA, MN
    ZIP 55439
  • Facility Phone: 952 841-2345
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: CHARBEL ABOUDIWAN
  • NPI Number: 1336655521
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2024527
LAB Type Physician Office
Facility Name TWIN CITIES PAIN CLINIC
Street 7235 OHMS LN
City EDINA
State MN
ZIP 55439
Phone 952 841-2345
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 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director CHARBEL ABOUDIWAN

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