24D2174199 CLIA NUMBER - RETINA CENTER OF MINNESOTA

Laboratory Demographics

  • CLIA Code: 24D2174199
  • Facility Name: RETINA CENTER OF MINNESOTA
  • Facility Address: 710 E 24TH ST STE 304
    MINNEAPOLIS, MN
    ZIP 55404
  • Facility Phone: 612 746-3880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABDHISH BHAVSAR
  • NPI Number: 1689604316
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 24D2174199
LAB Type Physician Office
Facility Name RETINA CENTER OF MINNESOTA
Street 710 E 24TH ST STE 304
City MINNEAPOLIS
State MN
ZIP 55404
Phone 612 746-3880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director ABDHISH BHAVSAR

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