24D2288092 CLIA NUMBER - SUMMIT ORTHOPEDICS LTD

Laboratory Demographics

  • CLIA Code: 24D2288092
  • Facility Name: SUMMIT ORTHOPEDICS LTD
  • Facility Address: 11995 SINGLETREE LANE SUITE 325
    EDEN PRAIRIE, MN
    ZIP 55344
  • Facility Phone: 651 968-5639
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BECKIE HINES
  • NPI Number: 1417639626
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 24D2288092
LAB Type Physician Office
Facility Name SUMMIT ORTHOPEDICS LTD
Street 11995 SINGLETREE LANE SUITE 325
City EDEN PRAIRIE
State MN
ZIP 55344
Phone 651 968-5639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director BECKIE HINES

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