24D2063272 CLIA NUMBER - MINNESOTA UROLOGY

Laboratory Demographics

  • CLIA Code: 24D2063272
  • Facility Name: MINNESOTA UROLOGY
  • Facility Address: 14655 GALAXIE AVENUE
    APPLE VALLEY, MN
    ZIP 55124
  • Facility Phone: 651 999-2771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEONE RITZ
  • NPI Number: 1154926939
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 24D2063272
LAB Type Physician Office
Facility Name MINNESOTA UROLOGY
Street 14655 GALAXIE AVENUE
City APPLE VALLEY
State MN
ZIP 55124
Phone 651 999-2771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director LEONE RITZ

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