24D2078369 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - TAMARACK

Laboratory Demographics

  • CLIA Code: 24D2078369
  • Facility Name: M HEALTH FAIRVIEW CLINIC - TAMARACK
  • Facility Address: 9900 TAMARACK ROAD
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 651 232-3747
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MRS. KATHLEEN WILSON
  • NPI Number: 1700235587
  • Taxonomy: 2081P0010X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 24D2078369
LAB Type Physician Office
Facility Name M HEALTH FAIRVIEW CLINIC - TAMARACK
Street 9900 TAMARACK ROAD
City WOODBURY
State MN
ZIP 55125
Phone 651 232-3747
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 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director MRS. KATHLEEN WILSON

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