24D0696913 CLIA NUMBER - CCM HEALTH - CLARA CITY

Laboratory Demographics

  • CLIA Code: 24D0696913
  • Facility Name: CCM HEALTH - CLARA CITY
  • Facility Address: 140 NW 1ST ST
    CLARA CITY, MN
    ZIP 56222
  • Facility Phone: 320 367-2871
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: TAMMY M. BENTLEY
  • NPI Number: 1679354690
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0696913
LAB Type Rural Health Clinic
Facility Name CCM HEALTH - CLARA CITY
Street 140 NW 1ST ST
City CLARA CITY
State MN
ZIP 56222
Phone 320 367-2871
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 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Rural Health Clinic
Lab Director TAMMY M. BENTLEY

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