24D0405701 CLIA NUMBER - CENTRACARE SOUTHWAY

Laboratory Demographics

  • CLIA Code: 24D0405701
  • Facility Name: CENTRACARE SOUTHWAY
  • Facility Address: 1301 33RD STREET SOUTH
    SAINT CLOUD, MN
    ZIP 56301
  • Facility Phone: 320 251-8181
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: KATIE E. SCHOUWEILER
  • NPI Number: 1669994315
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0405701
LAB Type Physician Office
Facility Name CENTRACARE SOUTHWAY
Street 1301 33RD STREET SOUTH
City SAINT CLOUD
State MN
ZIP 56301
Phone 320 251-8181
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 KATIE E. SCHOUWEILER

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