24D0693151 CLIA NUMBER - SCENIC RIVERS HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 24D0693151
  • Facility Name: SCENIC RIVERS HEALTH SERVICES
  • Facility Address: 410 SECOND STREET NW PO BOX 218
    BIG FALLS, MN
    ZIP 56627
  • Facility Phone: 218 276-2403
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BARRETT WOLFSON
  • NPI Number: 1912970872
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0693151
LAB Type Community Clinic
Facility Name SCENIC RIVERS HEALTH SERVICES
Street 410 SECOND STREET NW PO BOX 218
City BIG FALLS
State MN
ZIP 56627
Phone 218 276-2403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Community Clinic
Lab Director BARRETT WOLFSON

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