24D0651607 CLIA NUMBER - ST CLOUD SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 24D0651607
  • Facility Name: ST CLOUD SURGICAL CENTER
  • Facility Address: 1526 NORTHWAY DRIVE
    SAINT CLOUD, MN
    ZIP 56303
  • Facility Phone: 320 251-8385
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID J. HARRIS
  • NPI Number: 1124084843
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0651607
LAB Type Ambulatory Surgery Center
Facility Name ST CLOUD SURGICAL CENTER
Street 1526 NORTHWAY DRIVE
City SAINT CLOUD
State MN
ZIP 56303
Phone 320 251-8385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID J. HARRIS

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