24D0893639 CLIA NUMBER - TRI-VALLEY OPPORTUNITY COUNCIL INC

Laboratory Demographics

  • CLIA Code: 24D0893639
  • Facility Name: TRI-VALLEY OPPORTUNITY COUNCIL INC
  • Facility Address: 102 NORTH BROADWAY
    CROOKSTON, MN
    ZIP 56716
  • Facility Phone: 218 281-5832
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JASON CARLSON
  • NPI Number: 1104098672
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 24D0893639
LAB Type Other
Facility Name TRI-VALLEY OPPORTUNITY COUNCIL INC
Street 102 NORTH BROADWAY
City CROOKSTON
State MN
ZIP 56716
Phone 218 281-5832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Other
Lab Director JASON CARLSON

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