24D0400171 CLIA NUMBER - RIVERWAY CLINIC - ELK RIVER

Laboratory Demographics

  • CLIA Code: 24D0400171
  • Facility Name: RIVERWAY CLINIC - ELK RIVER
  • Facility Address: 530 3RD STREET NORTHWEST
    ELK RIVER, MN
    ZIP 55330
  • Facility Phone: 763 587-4810
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ROSEN DIMITROV
  • NPI Number: 1558422469
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D0400171
LAB Type Physician Office
Facility Name RIVERWAY CLINIC - ELK RIVER
Street 530 3RD STREET NORTHWEST
City ELK RIVER
State MN
ZIP 55330
Phone 763 587-4810
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 DR. ROSEN DIMITROV

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