24D2037312 CLIA NUMBER - EZY URGENT CARE CLINIC

Laboratory Demographics

  • CLIA Code: 24D2037312
  • Facility Name: EZY URGENT CARE CLINIC
  • Facility Address: 1001 JOHNSON PARKWAY SUITE A1
    SAINT PAUL, MN
    ZIP 55106
  • Facility Phone: 651 646-0028
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAMON A. NOLA
  • NPI Number: 1619201449
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2037312
LAB Type Physician Office
Facility Name EZY URGENT CARE CLINIC
Street 1001 JOHNSON PARKWAY SUITE A1
City SAINT PAUL
State MN
ZIP 55106
Phone 651 646-0028
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director RAMON A. NOLA

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