24D2082066 CLIA NUMBER - RIDGES SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 24D2082066
  • Facility Name: RIDGES SURGERY CENTER LLC
  • Facility Address: 14101 FAIRVIEW DRIVE SUITE 400
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 952 658-8036
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KELLY MEGAN
  • NPI Number: 1215350509
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2082066
LAB Type Ambulatory Surgery Center
Facility Name RIDGES SURGERY CENTER LLC
Street 14101 FAIRVIEW DRIVE SUITE 400
City BURNSVILLE
State MN
ZIP 55337
Phone 952 658-8036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Ambulatory Surgery Center
Lab Director KELLY MEGAN

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