24D2115856 CLIA NUMBER - ROGERS BEHAVIORAL HEALTH - MINNESOTA

Laboratory Demographics

  • CLIA Code: 24D2115856
  • Facility Name: ROGERS BEHAVIORAL HEALTH - MINNESOTA
  • Facility Address: 6442 CITY WEST PARKWAY SUITE 200
    EDEN PRAIRIE, MN
    ZIP 55344
  • Facility Phone: 763 318-2800
  • Facility Type: Other - PARTIAL BEHAVIORAL HEA
  • Facility Type: Waiver
  • Lab Director: STEPHANIE EKEN
  • NPI Number: 1013420561
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2115856
LAB Type Other - PARTIAL BEHAVIORAL HEA
Facility Name ROGERS BEHAVIORAL HEALTH - MINNESOTA
Street 6442 CITY WEST PARKWAY SUITE 200
City EDEN PRAIRIE
State MN
ZIP 55344
Phone 763 318-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Other - PARTIAL BEHAVIORAL HEA
Lab Director STEPHANIE EKEN

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