24D2130356 CLIA NUMBER - HOUSE CALLS CONSULTANTS PA DBA MEDICAL SPECIALISTS PA

Laboratory Demographics

  • CLIA Code: 24D2130356
  • Facility Name: HOUSE CALLS CONSULTANTS PA DBA MEDICAL SPECIALISTS PA
  • Facility Address: 6550 YORK AVE SOUTH SUITE 211
    EDINA, MN
    ZIP 55435
  • Facility Phone: 651 356-6408
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ANDREW PETRENKO
  • NPI Number: 1992078299
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 24D2130356
LAB Type Physician Office
Facility Name HOUSE CALLS CONSULTANTS PA DBA MEDICAL SPECIALISTS PA
Street 6550 YORK AVE SOUTH SUITE 211
City EDINA
State MN
ZIP 55435
Phone 651 356-6408
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 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director ANDREW PETRENKO

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