24D0404078 CLIA NUMBER - ESSENTIA HEALTH WEST DULUTH CLINIC

Laboratory Demographics

  • CLIA Code: 24D0404078
  • Facility Name: ESSENTIA HEALTH WEST DULUTH CLINIC
  • Facility Address: 4212 GRAND AVENUE
    DULUTH, MN
    ZIP 55807
  • Facility Phone: 218 786-4962
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIN COLLINS
  • NPI Number: 1669410221
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0404078
LAB Type Physician Office
Facility Name ESSENTIA HEALTH WEST DULUTH CLINIC
Street 4212 GRAND AVENUE
City DULUTH
State MN
ZIP 55807
Phone 218 786-4962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director KRISTIN COLLINS

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