24D0880189 CLIA NUMBER - ARROWHEAD REGIONAL CORRECTIONS AJC

Laboratory Demographics

CLIA Number: 24D0880189

Facility Name: ARROWHEAD REGIONAL CORRECTIONS AJC

Facility Address:
1918 ARLINGTON AVENUE NORTH
DULUTH, MN
ZIP 55811
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Facility Phone Number: 218 722-7776

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1386824357

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D0880189
LAB Type	Other
Facility Name	ARROWHEAD REGIONAL CORRECTIONS AJC
Street	1918 ARLINGTON AVENUE NORTH
City	DULUTH
State	MN
ZIP	55811
Phone	218 722-7776
CertificateType	3
CertificateEffectiveDate	6/30/2023
CertificateExpirationDate	6/29/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024