24D2044540 CLIA NUMBER - MINNESOTA BIRTH CENTER

Laboratory Demographics

  • CLIA Code: 24D2044540
  • Facility Name: MINNESOTA BIRTH CENTER
  • Facility Address: 2606 CHICAGO AVE S
    MINNEAPOLIS, MN
    ZIP 55407
  • Facility Phone: 612 545-5311
  • Facility Type: Other - BIRTH CENTER
  • Facility Type: Microscopy
  • Lab Director: ANN E. GROONWALD
  • NPI Number: 1194056994
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2044540
LAB Type Other - BIRTH CENTER
Facility Name MINNESOTA BIRTH CENTER
Street 2606 CHICAGO AVE S
City MINNEAPOLIS
State MN
ZIP 55407
Phone 612 545-5311
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 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Other - BIRTH CENTER
Lab Director ANN E. GROONWALD

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