24D0406722 CLIA NUMBER - ALTRU CLINIC ROSEAU

Laboratory Demographics

  • CLIA Code: 24D0406722
  • Facility Name: ALTRU CLINIC ROSEAU
  • Facility Address: 711 DELMORE DRIVE
    ROSEAU, MN
    ZIP 56751
  • Facility Phone: 218 463-1365
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ALLYSON J. THORTSEN
  • NPI Number: 1770672289
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0406722
LAB Type Rural Health Clinic
Facility Name ALTRU CLINIC ROSEAU
Street 711 DELMORE DRIVE
City ROSEAU
State MN
ZIP 56751
Phone 218 463-1365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Rural Health Clinic
Lab Director ALLYSON J. THORTSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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