24D2314590 CLIA NUMBER - MINNESOTA LABS, LLC

Laboratory Demographics

  • CLIA Code: 24D2314590
  • Facility Name: MINNESOTA LABS, LLC
  • Facility Address: 1565 CLIFF ROAD SUITE 14
    EAGAN, MN
    ZIP 55122
  • Facility Phone: 612 598-3977
  • Facility Type: Other - DRUG TESTING LAB
  • Facility Type: Waiver
  • Lab Director: MICHELLE M. JOHNSON
  • NPI Number: 1114522992
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2314590
LAB Type Other - DRUG TESTING LAB
Facility Name MINNESOTA LABS, LLC
Street 1565 CLIFF ROAD SUITE 14
City EAGAN
State MN
ZIP 55122
Phone 612 598-3977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Other - DRUG TESTING LAB
Lab Director MICHELLE M. JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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