24D2124631 CLIA NUMBER - EAGAN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 24D2124631
  • Facility Name: EAGAN SURGERY CENTER
  • Facility Address: 2620 EAGAN WOODS DRIVE SUITE 300
    EAGAN, MN
    ZIP 55121
  • Facility Phone: 651 968-5639
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BECKIE L. HINES
  • NPI Number: 1164870895
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2124631
LAB Type Ambulatory Surgery Center
Facility Name EAGAN SURGERY CENTER
Street 2620 EAGAN WOODS DRIVE SUITE 300
City EAGAN
State MN
ZIP 55121
Phone 651 968-5639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Ambulatory Surgery Center
Lab Director BECKIE L. HINES

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