24D2213964 CLIA NUMBER - NYSTROM & ASSOCIATE, LTD

Laboratory Demographics

  • CLIA Code: 24D2213964
  • Facility Name: NYSTROM & ASSOCIATE, LTD
  • Facility Address: 6600 FRANCE AVE SOUTH, SUITE 425
    EDINA, MN
    ZIP 55435
  • Facility Phone: 651 628-9566
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JONATHAN C. UECKER
  • NPI Number: 1467761742
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2213964
LAB Type Comp. Outpatient Rehab Facility
Facility Name NYSTROM & ASSOCIATE, LTD
Street 6600 FRANCE AVE SOUTH, SUITE 425
City EDINA
State MN
ZIP 55435
Phone 651 628-9566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JONATHAN C. UECKER

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