24D2263703 CLIA NUMBER - EAR INSTITUTE, LLC

Laboratory Demographics

  • CLIA Code: 24D2263703
  • Facility Name: EAR INSTITUTE, LLC
  • Facility Address: 4365 PHEASANT RIDGE DRIVE NE SUITE 106
    BLAINE, MN
    ZIP 55449
  • Facility Phone: 888 938-3838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ETHAN HANDLER
  • NPI Number: 1881168441
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 24D2263703
LAB Type Physician Office
Facility Name EAR INSTITUTE, LLC
Street 4365 PHEASANT RIDGE DRIVE NE SUITE 106
City BLAINE
State MN
ZIP 55449
Phone 888 938-3838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director ETHAN HANDLER

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