24D2222054 CLIA NUMBER - PJG MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 24D2222054
  • Facility Name: PJG MEDICAL LLC
  • Facility Address: 4029 23RD AVE S
    MINNEAPOLIS, MN
    ZIP 55407
  • Facility Phone: 507 398-2481
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP J. GYURA
  • NPI Number: 1285241075
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2222054
LAB Type Physician Office
Facility Name PJG MEDICAL LLC
Street 4029 23RD AVE S
City MINNEAPOLIS
State MN
ZIP 55407
Phone 507 398-2481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director PHILIP J. GYURA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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