24D2272139 CLIA NUMBER - HEALTHPARTNERS CANCER CARE - COON RAPIDS

Laboratory Demographics

CLIA Number: 24D2272139

Facility Name: HEALTHPARTNERS CANCER CARE - COON RAPIDS

Facility Address:
11850 BLACKFOOT STREET NW SUITE 200
COON RAPIDS, MN
ZIP 55433
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Facility Phone Number: 612 341-4800

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1043370091

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	24D2272139
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	HEALTHPARTNERS CANCER CARE - COON RAPIDS
Street	11850 BLACKFOOT STREET NW SUITE 200
City	COON RAPIDS
State	MN
ZIP	55433
Phone	612 341-4800
CertificateType	1
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024