24D2272467 CLIA NUMBER - MINNESOTA ONCOLOGY - MAPLE GROVE

Laboratory Demographics

  • CLIA Code: 24D2272467
  • Facility Name: MINNESOTA ONCOLOGY - MAPLE GROVE
  • Facility Address: 10150 NIAGARA LN N, SUITE 100
    MAPLE GROVE, MN
    ZIP 55369
  • Facility Phone: 651 602-5359
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. GIRUM LEMMA
  • NPI Number: 1912566563
  • Taxonomy: 202K00000X - Phlebology

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CLIA Record

Field Name Field Value
CLIA Number 24D2272467
LAB Type Physician Office
Facility Name MINNESOTA ONCOLOGY - MAPLE GROVE
Street 10150 NIAGARA LN N, SUITE 100
City MAPLE GROVE
State MN
ZIP 55369
Phone 651 602-5359
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 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director DR. GIRUM LEMMA

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