24D0400743 CLIA NUMBER - ELIM WELLSPRING

Laboratory Demographics

  • CLIA Code: 24D0400743
  • Facility Name: ELIM WELLSPRING
  • Facility Address: 701 FIRST STREET
    PRINCETON, MN
    ZIP 55371
  • Facility Phone: 763 389-1171
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA SWEAZEY
  • NPI Number: 1881682680
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0400743
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELIM WELLSPRING
Street 701 FIRST STREET
City PRINCETON
State MN
ZIP 55371
Phone 763 389-1171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JESSICA SWEAZEY

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