24D0405325 CLIA NUMBER - AVERA TYLER

Laboratory Demographics

CLIA Number: 24D0405325

Facility Name: AVERA TYLER

Facility Address:
240 WILLOW STREET
TYLER, MN
ZIP 56178
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Facility Phone Number: 507 247-5521

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1871546606

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	24D0405325
LAB Type	Hospital
Facility Name	AVERA TYLER
Street	240 WILLOW STREET
City	TYLER
State	MN
ZIP	56178
Phone	507 247-5521
CertificateType	2
CertificateEffectiveDate	12/2/2023
CertificateExpirationDate	12/1/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024