24D2091795 CLIA NUMBER - MINNETONKA AMBULATORY SURGERY CENTER LLC

Home > CLIA Lookup > 24D2091795

Laboratory Demographics

CLIA Number: 24D2091795

Facility Name: MINNETONKA AMBULATORY SURGERY CENTER LLC

Facility Address:
15450 HWY 7 SUITE 200
MINNETONKA, MN
ZIP 55345
Get Directions

Facility Phone Number: 651 968-5755

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1336538297

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D2091795
LAB Type	Ambulatory Surgery Center
Facility Name	MINNETONKA AMBULATORY SURGERY CENTER LLC
Street	15450 HWY 7 SUITE 200
City	MINNETONKA
State	MN
ZIP	55345
Phone	651 968-5755
CertificateType	4
CertificateEffectiveDate	2/19/2023
CertificateExpirationDate	2/18/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024