24D0680413 CLIA NUMBER - AVERA MEDICAL GROUP - WINDOM

Laboratory Demographics

  • CLIA Code: 24D0680413
  • Facility Name: AVERA MEDICAL GROUP - WINDOM
  • Facility Address: 2020 HOSPITAL DR SUITE 1
    WINDOM, MN
    ZIP 56101
  • Facility Phone: 507 831-8409
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ROD DYNES
  • NPI Number: 1538613633
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D0680413
LAB Type Community Clinic
Facility Name AVERA MEDICAL GROUP - WINDOM
Street 2020 HOSPITAL DR SUITE 1
City WINDOM
State MN
ZIP 56101
Phone 507 831-8409
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Community Clinic
Lab Director ROD DYNES

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