24D2120523 CLIA NUMBER - TWIN CITIES EYE CONSULTANTS

Laboratory Demographics

  • CLIA Code: 24D2120523
  • Facility Name: TWIN CITIES EYE CONSULTANTS
  • Facility Address: 4520 CENTERVILLE ROAD
    WHITE BEAR LAKE, MN
    ZIP 55127
  • Facility Phone: 763 421-7420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL C. HAMMOND
  • NPI Number: 1306042817
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 24D2120523
LAB Type Physician Office
Facility Name TWIN CITIES EYE CONSULTANTS
Street 4520 CENTERVILLE ROAD
City WHITE BEAR LAKE
State MN
ZIP 55127
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 PAUL C. HAMMOND

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