24D0405434 CLIA NUMBER - CENTRACARE WILLMAR SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 24D0405434
  • Facility Name: CENTRACARE WILLMAR SURGERY CENTER
  • Facility Address: 1310 1ST ST SOUTH
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 320 235-6506
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JULIE BOEHME
  • NPI Number: 1902319478
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0405434
LAB Type Ambulatory Surgery Center
Facility Name CENTRACARE WILLMAR SURGERY CENTER
Street 1310 1ST ST SOUTH
City WILLMAR
State MN
ZIP 56201
Phone 320 235-6506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director JULIE BOEHME

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