24D2177529 CLIA NUMBER - EDINA EYE PHYSICIANS AND SURGEONS

Laboratory Demographics

  • CLIA Code: 24D2177529
  • Facility Name: EDINA EYE PHYSICIANS AND SURGEONS
  • Facility Address: 290 MAIN ST
    ELK RIVER, MN
    ZIP 55330
  • Facility Phone: 952 832-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFERY J. STEPHENS
  • NPI Number: 1477644490
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 24D2177529
LAB Type Physician Office
Facility Name EDINA EYE PHYSICIANS AND SURGEONS
Street 290 MAIN ST
City ELK RIVER
State MN
ZIP 55330
Phone 952 832-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director JEFFERY J. STEPHENS

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