24D0405367 CLIA NUMBER - AVERA MEDICAL GROUP WORTHINGTON

Laboratory Demographics

  • CLIA Code: 24D0405367
  • Facility Name: AVERA MEDICAL GROUP WORTHINGTON
  • Facility Address: 1216 RYANS ROAD
    WORTHINGTON, MN
    ZIP 56187
  • Facility Phone: 507 372-2921
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MICHELLE BLEILE
  • NPI Number: 1700062213
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 24D0405367
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP WORTHINGTON
Street 1216 RYANS ROAD
City WORTHINGTON
State MN
ZIP 56187
Phone 507 372-2921
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director MICHELLE BLEILE

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