24D0880189 CLIA NUMBER - ARROWHEAD REGIONAL CORRECTIONS AJC

Laboratory Demographics

  • CLIA Code: 24D0880189
  • Facility Name: ARROWHEAD REGIONAL CORRECTIONS AJC
  • Facility Address: 1918 ARLINGTON AVENUE NORTH
    DULUTH, MN
    ZIP 55811
  • Facility Phone: 218 722-7776
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: GARY W. JONES
  • NPI Number: 1386824357
  • Taxonomy: 261QH0100X - Clinic/Center

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Other
Lab Director GARY W. JONES

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