24D0405562 CLIA NUMBER - CCM HEALTH

Laboratory Demographics

  • CLIA Code: 24D0405562
  • Facility Name: CCM HEALTH
  • Facility Address: 824 NORTH 11TH ST
    MONTEVIDEO, MN
    ZIP 56265
  • Facility Phone: 320 321-8260
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: STEVEN M. VANDERWERF
  • NPI Number: 1346460755
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 24D0405562
LAB Type Hospital
Facility Name CCM HEALTH
Street 824 NORTH 11TH ST
City MONTEVIDEO
State MN
ZIP 56265
Phone 320 321-8260
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 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Hospital
Lab Director STEVEN M. VANDERWERF

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