24D0398375 CLIA NUMBER - ALLINA HEALTH NORTHFIELD CLINIC

Laboratory Demographics

  • CLIA Code: 24D0398375
  • Facility Name: ALLINA HEALTH NORTHFIELD CLINIC
  • Facility Address: 1400 JEFFERSON ROAD
    NORTHFIELD, MN
    ZIP 55057
  • Facility Phone: 612 863-0408
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LAWRENCE J. BURGART
  • NPI Number: 1649576380
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0398375
LAB Type Community Clinic
Facility Name ALLINA HEALTH NORTHFIELD CLINIC
Street 1400 JEFFERSON ROAD
City NORTHFIELD
State MN
ZIP 55057
Phone 612 863-0408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Community Clinic
Lab Director LAWRENCE J. BURGART

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