24D0402953 CLIA NUMBER - ALLINA HEALTH COON RAPIDS CLINIC

Laboratory Demographics

  • CLIA Code: 24D0402953
  • Facility Name: ALLINA HEALTH COON RAPIDS CLINIC
  • Facility Address: 9055 SPRINGBROOK DRIVE
    COON RAPIDS, MN
    ZIP 55433
  • Facility Phone: 763 780-7025
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. HARRISON P. DILWORTH IV
  • NPI Number: 1649886565
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0402953
LAB Type Physician Office
Facility Name ALLINA HEALTH COON RAPIDS CLINIC
Street 9055 SPRINGBROOK DRIVE
City COON RAPIDS
State MN
ZIP 55433
Phone 763 780-7025
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. HARRISON P. DILWORTH IV

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