24D2274707 CLIA NUMBER - MISSIONS INC PROGRAMS

Laboratory Demographics

  • CLIA Code: 24D2274707
  • Facility Name: MISSIONS INC PROGRAMS
  • Facility Address: 3409 E MEDICINE LAKE PKWY
    PLYMOUTH, MN
    ZIP 55441
  • Facility Phone: 763 559-1883
  • Facility Type: Other - NON-PROFIT FOR VULNERABLE
  • Facility Type: Waiver
  • Lab Director: KATY DANIELS
  • NPI Number: 1801082847
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2274707
LAB Type Other - NON-PROFIT FOR VULNERABLE
Facility Name MISSIONS INC PROGRAMS
Street 3409 E MEDICINE LAKE PKWY
City PLYMOUTH
State MN
ZIP 55441
Phone 763 559-1883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Other - NON-PROFIT FOR VULNERABLE
Lab Director KATY DANIELS

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