24D2042298 CLIA NUMBER - NORTHERN INTEGRATED HEALTH

Laboratory Demographics

  • CLIA Code: 24D2042298
  • Facility Name: NORTHERN INTEGRATED HEALTH
  • Facility Address: 6200 EXCELSIOR BOULEVARD #204
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Facility Phone: 952 548-9340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFERY C. MORGAN
  • NPI Number: 1831413442
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 24D2042298
LAB Type Physician Office
Facility Name NORTHERN INTEGRATED HEALTH
Street 6200 EXCELSIOR BOULEVARD #204
City SAINT LOUIS PARK
State MN
ZIP 55416
Phone 952 548-9340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director JEFFERY C. MORGAN

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