24D0897972 CLIA NUMBER - CENTRA CARE FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 24D0897972
  • Facility Name: CENTRA CARE FAMILY HEALTH CENTER
  • Facility Address: 1555 NORTHWAY DRIVE SUITE 200
    SAINT CLOUD, MN
    ZIP 56303
  • Facility Phone: 320 240-3157
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: AMY OLMSCHENK
  • NPI Number: 1770532426
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0897972
LAB Type Community Clinic
Facility Name CENTRA CARE FAMILY HEALTH CENTER
Street 1555 NORTHWAY DRIVE SUITE 200
City SAINT CLOUD
State MN
ZIP 56303
Phone 320 240-3157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Community Clinic
Lab Director AMY OLMSCHENK

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