24D0406054 CLIA NUMBER - CENTRACARE - SAUK CENTRE

Laboratory Demographics

CLIA Number: 24D0406054

Facility Name: CENTRACARE - SAUK CENTRE

Facility Address:
425 ELM STREET NORTH
SAUK CENTRE, MN
ZIP 56378
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Facility Phone Number: 320 732-7207

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1578813762

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 24D0406054
LAB Type Hospital
Facility Name CENTRACARE - SAUK CENTRE
Street 425 ELM STREET NORTH
City SAUK CENTRE
State MN
ZIP 56378
Phone 320 732-7207
CertificateType 2
CertificateEffectiveDate 9/13/2023
CertificateExpirationDate 9/12/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024