24D2275396 CLIA NUMBER - HEALTHPARTNERS PLASTIC SURGERY AND DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 24D2275396
  • Facility Name: HEALTHPARTNERS PLASTIC SURGERY AND DERMATOLOGY
  • Facility Address: 1000 RADIO DR SUITE 120
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 651 495-6865
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAUREN BRIN HERMANS
  • NPI Number: 1386705291
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D2275396
LAB Type Physician Office
Facility Name HEALTHPARTNERS PLASTIC SURGERY AND DERMATOLOGY
Street 1000 RADIO DR SUITE 120
City WOODBURY
State MN
ZIP 55125
Phone 651 495-6865
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director LAUREN BRIN HERMANS

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