24D2131337 CLIA NUMBER - ZEL SKIN AND LASER SPECIALISTS

Laboratory Demographics

  • CLIA Code: 24D2131337
  • Facility Name: ZEL SKIN AND LASER SPECIALISTS
  • Facility Address: 4100 WEST 50TH STREET
    EDINA, MN
    ZIP 55424
  • Facility Phone: 952 929-8888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN ZELICKSON
  • NPI Number: 1629175617
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2131337
LAB Type Physician Office
Facility Name ZEL SKIN AND LASER SPECIALISTS
Street 4100 WEST 50TH STREET
City EDINA
State MN
ZIP 55424
Phone 952 929-8888
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director BRIAN ZELICKSON

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