24D2104906 CLIA NUMBER - NORTHWEST EYE CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 24D2104906
  • Facility Name: NORTHWEST EYE CLINIC, LLC
  • Facility Address: 8501 GOLDEN VALLEY ROAD SUITE 100
    GOLDEN VALLEY, MN
    ZIP 55427
  • Facility Phone: 763 416-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENISE TOMNICZAK
  • NPI Number: 1891871646
  • Taxonomy: 207W00000X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2104906
LAB Type Physician Office
Facility Name NORTHWEST EYE CLINIC, LLC
Street 8501 GOLDEN VALLEY ROAD SUITE 100
City GOLDEN VALLEY
State MN
ZIP 55427
Phone 763 416-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director DENISE TOMNICZAK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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