CLIA lab
CLIA 24D2117731: Medcor, Inc at Target DC Woodbury T9479
Woodbury, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2117731 belongs to Medcor, Inc at Target DC Woodbury T9479 in Woodbury, MN.
Certificate of Waiver, effective August 23, 2026, expires August 22, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 23, 2026
- Certificate expiration
- August 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 2016
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2117731
- Lab name
- Medcor, Inc at Target DC Woodbury T9479
- Address
- 9501 Hudson Road, Woodbury, MN 55125
- Phone
- (651) 578-6189
- Fax
- (815) 759-5480
Annual test volume the lab reported
- Waived tests
- 40
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Medcor, Inc at Target DC Woodbury T9479 in Woodbury?
24D2117731, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medcor, Inc at Target DC Woodbury T9479 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2117731 expire?
The CMS file lists August 22, 2028 as the certificate expiration date; the certificate took effect August 23, 2026.