24D2120522 CLIA NUMBER - EDINA EYE PHYSICIANS AND SURGEONS

Laboratory Demographics

  • CLIA Code: 24D2120522
  • Facility Name: EDINA EYE PHYSICIANS AND SURGEONS
  • Facility Address: 3777 COON RAPIDS BLVD NW, SUITE 100
    COON RAPIDS, MN
    ZIP 55433
  • Facility Phone: 763 421-7420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFERY J. STEPHENS
  • NPI Number: 1972950814
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 24D2120522
LAB Type Physician Office
Facility Name EDINA EYE PHYSICIANS AND SURGEONS
Street 3777 COON RAPIDS BLVD NW, SUITE 100
City COON RAPIDS
State MN
ZIP 55433
Phone 763 421-7420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director JEFFERY J. STEPHENS

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