24D2159065 CLIA NUMBER - HENNEPIN ASSAULT RESPONSE TEAM

Laboratory Demographics

  • CLIA Code: 24D2159065
  • Facility Name: HENNEPIN ASSAULT RESPONSE TEAM
  • Facility Address: HCMC - 701 PARK AVENUE
    MINNEAPOLIS, MN
    ZIP 55415
  • Facility Phone: 612 873-3001
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MARGRET D. OETHINGER
  • NPI Number: 1710441381
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2159065
LAB Type Mobile Laboratory
Facility Name HENNEPIN ASSAULT RESPONSE TEAM
Street HCMC - 701 PARK AVENUE
City MINNEAPOLIS
State MN
ZIP 55415
Phone 612 873-3001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Mobile Laboratory
Lab Director MARGRET D. OETHINGER

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This page was last updated on: 6/4/2025