24D0405394 CLIA NUMBER - KANDIYOHI HEALTH AND HUMAN SERVICES

Laboratory Demographics

  • CLIA Code: 24D0405394
  • Facility Name: KANDIYOHI HEALTH AND HUMAN SERVICES
  • Facility Address: 2200 23RD ST NE
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 320 231-7800
  • Facility Type: Other - WIC CLINIC
  • Facility Type: Waiver
  • Lab Director: CAROLINE CHAN
  • NPI Number: 1073676540
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 24D0405394
LAB Type Other - WIC CLINIC
Facility Name KANDIYOHI HEALTH AND HUMAN SERVICES
Street 2200 23RD ST NE
City WILLMAR
State MN
ZIP 56201
Phone 320 231-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Other - WIC CLINIC
Lab Director CAROLINE CHAN

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This page was last updated on: 6/4/2025