24D2302573 CLIA NUMBER - ECKER DERMATOLOGY, PA

Laboratory Demographics

  • CLIA Code: 24D2302573
  • Facility Name: ECKER DERMATOLOGY, PA
  • Facility Address: 1905 WAYZATA BLVD E, STE 240
    WAYZATA, MN
    ZIP 55391
  • Facility Phone: 952 222-8149
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PHIL M. ECKER
  • NPI Number: 1598538258
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 24D2302573
LAB Type Physician Office
Facility Name ECKER DERMATOLOGY, PA
Street 1905 WAYZATA BLVD E, STE 240
City WAYZATA
State MN
ZIP 55391
Phone 952 222-8149
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director PHIL M. ECKER

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