24D0402983 CLIA NUMBER - NUCLEUS CLINIC

Laboratory Demographics

CLIA Number: 24D0402983

Facility Name: NUCLEUS CLINIC

Facility Address:
1323 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433
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Facility Phone Number: 763 755-5300

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1982882742

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	24D0402983
LAB Type	Community Clinic
Facility Name	NUCLEUS CLINIC
Street	1323 COON RAPIDS BLVD NW
City	COON RAPIDS
State	MN
ZIP	55433
Phone	763 755-5300
CertificateType	3
CertificateEffectiveDate	4/23/2024
CertificateExpirationDate	4/22/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024