24D2224417 CLIA NUMBER - MARATHON HEALTH AT MISO EAGAN

Laboratory Demographics

  • CLIA Code: 24D2224417
  • Facility Name: MARATHON HEALTH AT MISO EAGAN
  • Facility Address: 2985 AMES CROSSING RD
    EAGAN, MN
    ZIP 55121
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: JACI SCHLOESSER
  • NPI Number: 1023451143
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 24D2224417
LAB Type Other - ONSITE HEALTH CENTER
Facility Name MARATHON HEALTH AT MISO EAGAN
Street 2985 AMES CROSSING RD
City EAGAN
State MN
ZIP 55121
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Other - ONSITE HEALTH CENTER
Lab Director JACI SCHLOESSER

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