24D2166287 CLIA NUMBER - ALLINA HEALTH CLINIC - GREENWAY & ALLINA HEALTH URGENT CARE

Laboratory Demographics

  • CLIA Code: 24D2166287
  • Facility Name: ALLINA HEALTH CLINIC - GREENWAY & ALLINA HEALTH URGENT CARE
  • Facility Address: 3270 W LAKE STREET
    MINNEAPOLIS, MN
    ZIP 55416
  • Facility Phone: 612 775-1820
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DR. MILTON W. DATTA
  • NPI Number: 1649757261
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D2166287
LAB Type Community Clinic
Facility Name ALLINA HEALTH CLINIC - GREENWAY & ALLINA HEALTH URGENT CARE
Street 3270 W LAKE STREET
City MINNEAPOLIS
State MN
ZIP 55416
Phone 612 775-1820
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 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Community Clinic
Lab Director DR. MILTON W. DATTA

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