24D2143272 CLIA NUMBER - EAGAN ORTHOPEDIC SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 24D2143272
  • Facility Name: EAGAN ORTHOPEDIC SURGERY CENTER LLC
  • Facility Address: 2700 VIKINGS CIRCLE SUITE 300
    EAGAN, MN
    ZIP 55121
  • Facility Phone: 952 456-7323
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: OWEN R. ONEILL
  • NPI Number: 1336665306
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2143272
LAB Type Ambulatory Surgery Center
Facility Name EAGAN ORTHOPEDIC SURGERY CENTER LLC
Street 2700 VIKINGS CIRCLE SUITE 300
City EAGAN
State MN
ZIP 55121
Phone 952 456-7323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Ambulatory Surgery Center
Lab Director OWEN R. ONEILL

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