24D0406200 CLIA NUMBER - ERICKSON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 24D0406200
  • Facility Name: ERICKSON MEDICAL CLINIC
  • Facility Address: 205 W 7TH ST
    PARK RAPIDS, MN
    ZIP 56470
  • Facility Phone: 218 732-7760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VERN E. ERICKSON
  • NPI Number: 1528070513
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0406200
LAB Type Physician Office
Facility Name ERICKSON MEDICAL CLINIC
Street 205 W 7TH ST
City PARK RAPIDS
State MN
ZIP 56470
Phone 218 732-7760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director VERN E. ERICKSON

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