24D0405793 CLIA NUMBER - CENTRACARE CLNC - HEALTH PLAZA

Laboratory Demographics

  • CLIA Code: 24D0405793
  • Facility Name: CENTRACARE CLNC - HEALTH PLAZA
  • Facility Address: 1900 CENTRACARE CIRCLE
    SAINT CLOUD, MN
    ZIP 56303
  • Facility Phone: 320 654-3630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE A. MORRIS
  • NPI Number: 1225030844
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0405793
LAB Type Physician Office
Facility Name CENTRACARE CLNC - HEALTH PLAZA
Street 1900 CENTRACARE CIRCLE
City SAINT CLOUD
State MN
ZIP 56303
Phone 320 654-3630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director GEORGE A. MORRIS

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