24D0405325 CLIA NUMBER - AVERA TYLER

Laboratory Demographics

  • CLIA Code: 24D0405325
  • Facility Name: AVERA TYLER
  • Facility Address: 240 WILLOW STREET
    TYLER, MN
    ZIP 56178
  • Facility Phone: 507 247-5521
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: MATTHEW S. JOHNSON
  • NPI Number: 1871546606
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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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
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 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Hospital
Lab Director MATTHEW S. JOHNSON

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