24D0404531 CLIA NUMBER - GUNDERSEN LA CRESCENT CLINIC

Laboratory Demographics

  • CLIA Code: 24D0404531
  • Facility Name: GUNDERSEN LA CRESCENT CLINIC
  • Facility Address: 226 NORTH SECOND STREET
    LA CRESCENT, MN
    ZIP 55947
  • Facility Phone: 507 895-6610
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RACHEL L. HENDERSON
  • NPI Number: 1467403311
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0404531
LAB Type Physician Office
Facility Name GUNDERSEN LA CRESCENT CLINIC
Street 226 NORTH SECOND STREET
City LA CRESCENT
State MN
ZIP 55947
Phone 507 895-6610
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 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director RACHEL L. HENDERSON

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