24D0404029 CLIA NUMBER - SMDC MEDICAL CENTER - ESSENTIA HEALTH

Laboratory Demographics

  • CLIA Code: 24D0404029
  • Facility Name: SMDC MEDICAL CENTER - ESSENTIA HEALTH
  • Facility Address: 502 EAST 2ND STREET
    DULUTH, MN
    ZIP 55805
  • Facility Phone: 218 786-2383
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. RODNEY D. BOYUM
  • NPI Number: 1518988310
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 24D0404029
LAB Type Hospital
Facility Name SMDC MEDICAL CENTER - ESSENTIA HEALTH
Street 502 EAST 2ND STREET
City DULUTH
State MN
ZIP 55805
Phone 218 786-2383
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 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Hospital
Lab Director DR. RODNEY D. BOYUM

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