24D2030388 CLIA NUMBER - HEALTHPARTNERS EAGAN CLINIC

Laboratory Demographics

  • CLIA Code: 24D2030388
  • Facility Name: HEALTHPARTNERS EAGAN CLINIC
  • Facility Address: 1654 DIFFLEY ROAD, SUITE 100
    EAGAN, MN
    ZIP 55122
  • Facility Phone: 651 641-3920
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SHANNON M. GABRIEL-GRIGGS
  • NPI Number: 1811244809
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D2030388
LAB Type Physician Office
Facility Name HEALTHPARTNERS EAGAN CLINIC
Street 1654 DIFFLEY ROAD, SUITE 100
City EAGAN
State MN
ZIP 55122
Phone 651 641-3920
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 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director DR. SHANNON M. GABRIEL-GRIGGS

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