24D2046163 CLIA NUMBER - HEALTHPARTNERS NOKOMIS CLINIC

Laboratory Demographics

  • CLIA Code: 24D2046163
  • Facility Name: HEALTHPARTNERS NOKOMIS CLINIC
  • Facility Address: 4730 CHICAGO AVENUE
    MINNEAPOLIS, MN
    ZIP 55407
  • Facility Phone: 612 313-0032
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. CHRISTINE M. COLBACH
  • NPI Number: 1982951976
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D2046163
LAB Type Physician Office
Facility Name HEALTHPARTNERS NOKOMIS CLINIC
Street 4730 CHICAGO AVENUE
City MINNEAPOLIS
State MN
ZIP 55407
Phone 612 313-0032
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Physician Office
Lab Director DR. CHRISTINE M. COLBACH

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