24D2052838 CLIA NUMBER - MINNESOTA UROLOGY

Laboratory Demographics

  • CLIA Code: 24D2052838
  • Facility Name: MINNESOTA UROLOGY
  • Facility Address: 6525 FRANCE AVE SO #208
    EDINA, MN
    ZIP 55435
  • Facility Phone: (952) 465-0092
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RANDOLPH PETERSON
  • NPI Number: 1619970910
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 24D2052838
LAB Type Physician Office
Facility Name MINNESOTA UROLOGY
Street 6525 FRANCE AVE SO #208
City EDINA
State MN
ZIP 55435
Phone 9524650092
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director RANDOLPH PETERSON

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This page was last updated on: 5/18/2026