24D0651643 CLIA NUMBER - CENTRACARE - LONG PRAIRIE

Laboratory Demographics

  • CLIA Code: 24D0651643
  • Facility Name: CENTRACARE - LONG PRAIRIE
  • Facility Address: 50 CENTRACARE DRIVE
    LONG PRAIRIE, MN
    ZIP 56347
  • Facility Phone: 320 732-7276
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: JOEL A. MIRON
  • NPI Number: 1184890097
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 24D0651643
LAB Type Hospital
Facility Name CENTRACARE - LONG PRAIRIE
Street 50 CENTRACARE DRIVE
City LONG PRAIRIE
State MN
ZIP 56347
Phone 320 732-7276
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Hospital
Lab Director JOEL A. MIRON

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