24D2041237 CLIA NUMBER - GREENWAY SURGICAL SUITES

Laboratory Demographics

  • CLIA Code: 24D2041237
  • Facility Name: GREENWAY SURGICAL SUITES
  • Facility Address: 2020 E 28TH STREET, SUITE 100
    MINNEAPOLIS, MN
    ZIP 55407
  • Facility Phone: 612 728-7000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FELTON
  • NPI Number: 1063019586
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2041237
LAB Type Ambulatory Surgery Center
Facility Name GREENWAY SURGICAL SUITES
Street 2020 E 28TH STREET, SUITE 100
City MINNEAPOLIS
State MN
ZIP 55407
Phone 612 728-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Ambulatory Surgery Center
Lab Director TIMOTHY FELTON

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