24D0870928 CLIA NUMBER - INTER-COUNTY COMMUNITY COUNCIL

Laboratory Demographics

  • CLIA Code: 24D0870928
  • Facility Name: INTER-COUNTY COMMUNITY COUNCIL
  • Facility Address: 207 MAIN STREET
    OKLEE, MN
    ZIP 56742
  • Facility Phone: 218 796-5144
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DANNE JOHNSON
  • NPI Number: 1720457401
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 24D0870928
LAB Type Other
Facility Name INTER-COUNTY COMMUNITY COUNCIL
Street 207 MAIN STREET
City OKLEE
State MN
ZIP 56742
Phone 218 796-5144
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 Other
Lab Director DANNE JOHNSON

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