24D2130068 CLIA NUMBER - NORTHSTAR REGIONAL

Laboratory Demographics

  • CLIA Code: 24D2130068
  • Facility Name: NORTHSTAR REGIONAL
  • Facility Address: 500 MARSCHALL ROAD SUITE 300
    SHAKOPEE, MN
    ZIP 55379
  • Facility Phone: 952 448-6557
  • Facility Type: Other - TREATMENT CENTER
  • Facility Type: Accreditation
  • Lab Director: LEANDRA HIGGINBOTHAM
  • NPI Number: 1508349234
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2130068
LAB Type Other - TREATMENT CENTER
Facility Name NORTHSTAR REGIONAL
Street 500 MARSCHALL ROAD SUITE 300
City SHAKOPEE
State MN
ZIP 55379
Phone 952 448-6557
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Other - TREATMENT CENTER
Lab Director LEANDRA HIGGINBOTHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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