24D0406672 CLIA NUMBER - ALTRU CLINIC - CROOKSTON

Laboratory Demographics

  • CLIA Code: 24D0406672
  • Facility Name: ALTRU CLINIC - CROOKSTON
  • Facility Address: 400 S MINNESOTA ST
    CROOKSTON, MN
    ZIP 56716
  • Facility Phone: 701 780-5133
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: HOLLY BERGH
  • NPI Number: 1760494330
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0406672
LAB Type Community Clinic
Facility Name ALTRU CLINIC - CROOKSTON
Street 400 S MINNESOTA ST
City CROOKSTON
State MN
ZIP 56716
Phone 701 780-5133
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 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Community Clinic
Lab Director HOLLY BERGH

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