24D2232808 CLIA NUMBER - PEACH STATE MEDICAL PRACTICE, PC DBA KINDBODY OF MN MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 24D2232808
  • Facility Name: PEACH STATE MEDICAL PRACTICE, PC DBA KINDBODY OF MN MEDICAL PRACTICE
  • Facility Address: 138 NORTH SECOND STREET
    MINNEAPOLIS, MN
    ZIP 55401
  • Facility Phone: 612 230-4090
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JASON BARRITT
  • NPI Number: 1841967825
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 24D2232808
LAB Type Physician Office
Facility Name PEACH STATE MEDICAL PRACTICE, PC DBA KINDBODY OF MN MEDICAL PRACTICE
Street 138 NORTH SECOND STREET
City MINNEAPOLIS
State MN
ZIP 55401
Phone 612 230-4090
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director DR. JASON BARRITT

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