24D2082641 CLIA NUMBER - WAYZATA SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 24D2082641
  • Facility Name: WAYZATA SURGICAL CENTER
  • Facility Address: 935 WAYZATA BLVD E
    WAYZATA, MN
    ZIP 55391
  • Facility Phone: 763 559-4500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN A. NESS
  • NPI Number: 1043812787
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2082641
LAB Type Ambulatory Surgery Center
Facility Name WAYZATA SURGICAL CENTER
Street 935 WAYZATA BLVD E
City WAYZATA
State MN
ZIP 55391
Phone 763 559-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN A. NESS

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