24D0907491 CLIA NUMBER - CENTRACARE SARTELL

Laboratory Demographics

CLIA Number: 24D0907491

Facility Name: CENTRACARE SARTELL

Facility Address:
251 COUNTY ROAD 120
SAINT CLOUD, MN
ZIP 56303
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Facility Phone Number: 320 202-8949

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1689196339

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D0907491
LAB Type	Physician Office
Facility Name	CENTRACARE SARTELL
Street	251 COUNTY ROAD 120
City	SAINT CLOUD
State	MN
ZIP	56303
Phone	320 202-8949
CertificateType	1
CertificateEffectiveDate	12/15/2023
CertificateExpirationDate	12/14/2025
FacilityType	Accreditation

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