24D0881446 CLIA NUMBER - NORTHFIELD HOSPITAL & CLINICS - KENYON CLINIC

Laboratory Demographics

  • CLIA Code: 24D0881446
  • Facility Name: NORTHFIELD HOSPITAL & CLINICS - KENYON CLINIC
  • Facility Address: 225 HUSETH DRIVE
    KENYON, MN
    ZIP 55946
  • Facility Phone: (507) 646-8212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY JO BLOOFLAT
  • NPI Number: 1518631407
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0881446
LAB Type Physician Office
Facility Name NORTHFIELD HOSPITAL & CLINICS - KENYON CLINIC
Street 225 HUSETH DRIVE
City KENYON
State MN
ZIP 55946
Phone 5076468212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director MARY JO BLOOFLAT

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This page was last updated on: 5/18/2026