24D2047644 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - PRINCETON

Laboratory Demographics

  • CLIA Code: 24D2047644
  • Facility Name: M HEALTH FAIRVIEW CLINIC - PRINCETON
  • Facility Address: 919 NORTHLAND DRIVE
    PRINCETON, MN
    ZIP 55371
  • Facility Phone: 763 389-6398
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: KATIE PARENTEAU
  • NPI Number: 1013097377
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 24D2047644
LAB Type Ancillary Testing Site in Health Care Center
Facility Name M HEALTH FAIRVIEW CLINIC - PRINCETON
Street 919 NORTHLAND DRIVE
City PRINCETON
State MN
ZIP 55371
Phone 763 389-6398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director KATIE PARENTEAU

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