24D2113857 CLIA NUMBER - MN UROLOGY

Laboratory Demographics

  • CLIA Code: 24D2113857
  • Facility Name: MN UROLOGY
  • Facility Address: 1515 ST FRANCIS AVE #250
    SHAKOPEE, MN
    ZIP 55379
  • Facility Phone: 952 428-2144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW R. BRAASCH
  • NPI Number: 1528232774
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 24D2113857
LAB Type Physician Office
Facility Name MN UROLOGY
Street 1515 ST FRANCIS AVE #250
City SHAKOPEE
State MN
ZIP 55379
Phone 952 428-2144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director MATTHEW R. BRAASCH

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