24D0403658 CLIA NUMBER - ELY-BLOOMENSON COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 24D0403658
  • Facility Name: ELY-BLOOMENSON COMMUNITY HOSPITAL
  • Facility Address: 328 WEST CONAN STREET
    ELY, MN
    ZIP 55731
  • Facility Phone: 218 365-8735
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTOPHER J. MONTAGUE
  • NPI Number: 1770542904
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 24D0403658
LAB Type Hospital
Facility Name ELY-BLOOMENSON COMMUNITY HOSPITAL
Street 328 WEST CONAN STREET
City ELY
State MN
ZIP 55731
Phone 218 365-8735
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Hospital
Lab Director CHRISTOPHER J. MONTAGUE

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