24D0400128 CLIA NUMBER - CENTRACARE CLEARWATER

Laboratory Demographics

  • CLIA Code: 24D0400128
  • Facility Name: CENTRACARE CLEARWATER
  • Facility Address: 615 NELSON DRIVE
    CLEARWATER, MN
    ZIP 55320
  • Facility Phone: 320 558-2293
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: KATIE E. SCHOUWEILER
  • NPI Number: 1255853115
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0400128
LAB Type Physician Office
Facility Name CENTRACARE CLEARWATER
Street 615 NELSON DRIVE
City CLEARWATER
State MN
ZIP 55320
Phone 320 558-2293
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director KATIE E. SCHOUWEILER

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