24D0405219 CLIA NUMBER - HENDRICKS COMMUNITY HOSPITAL ASSN DBA HENDRICKS CLINIC

Laboratory Demographics

  • CLIA Code: 24D0405219
  • Facility Name: HENDRICKS COMMUNITY HOSPITAL ASSN DBA HENDRICKS CLINIC
  • Facility Address: 501 EAST LINCOLN STREET PO BOX 106
    HENDRICKS, MN
    ZIP 56136
  • Facility Phone: (507) 275-3121
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: TABB MCCLUSKEY DO
  • NPI Number: 1013206812
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0405219
LAB Type Rural Health Clinic
Facility Name HENDRICKS COMMUNITY HOSPITAL ASSN DBA HENDRICKS CLINIC
Street 501 EAST LINCOLN STREET PO BOX 106
City HENDRICKS
State MN
ZIP 56136
Phone 5072753121
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director TABB MCCLUSKEY DO

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This page was last updated on: 5/18/2026