24D2037315 CLIA NUMBER - MIDWEST HEALTHCARE GROUPS PLLC

Laboratory Demographics

  • CLIA Code: 24D2037315
  • Facility Name: MIDWEST HEALTHCARE GROUPS PLLC
  • Facility Address: 21410 136TH AVE N
    ROGERS, MN
    ZIP 55374
  • Facility Phone: 651 829-4326
  • Facility Type: Other - URGENT CARE & OCCUPATIONA
  • Facility Type: Waiver
  • Lab Director: AMMAR KHASHAM
  • NPI Number: 1982207932
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2037315
LAB Type Other - URGENT CARE & OCCUPATIONA
Facility Name MIDWEST HEALTHCARE GROUPS PLLC
Street 21410 136TH AVE N
City ROGERS
State MN
ZIP 55374
Phone 651 829-4326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Other - URGENT CARE & OCCUPATIONA
Lab Director AMMAR KHASHAM

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