24D2329116 CLIA NUMBER - RIDGEVIEW DERMATOPATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 24D2329116
  • Facility Name: RIDGEVIEW DERMATOPATHOLOGY LABORATORY
  • Facility Address: 560 SOUTH MAPLE STREET
    WACONIA, MN
    ZIP 55387
  • Facility Phone: 952 442-3188
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER COIAS
  • NPI Number: 1083719215
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 24D2329116
LAB Type Ancillary Testing Site in Health Care Center
Facility Name RIDGEVIEW DERMATOPATHOLOGY LABORATORY
Street 560 SOUTH MAPLE STREET
City WACONIA
State MN
ZIP 55387
Phone 952 442-3188
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 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JENNIFER COIAS

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