24D0402983 CLIA NUMBER - NUCLEUS CLINIC

Laboratory Demographics

  • CLIA Code: 24D0402983
  • Facility Name: NUCLEUS CLINIC
  • Facility Address: 1323 COON RAPIDS BLVD NW
    COON RAPIDS, MN
    ZIP 55433
  • Facility Phone: 763 755-5300
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: KELSEY C. LESSARD
  • NPI Number: 1982882742
  • Taxonomy: 251K00000X - Public Health or Welfare

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Community Clinic
Lab Director KELSEY C. LESSARD

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