24D0919149 CLIA NUMBER - CARE CARLTON

Laboratory Demographics

  • CLIA Code: 24D0919149
  • Facility Name: CARE CARLTON
  • Facility Address: 810 3RD ST, STE 102
    CARLTON, MN
    ZIP 55718
  • Facility Phone: 218 384-7015
  • Facility Type: Other - RESIDENTIAL SUBSTANCE ABU
  • Facility Type: Waiver
  • Lab Director: AMANDA GOERTZ
  • NPI Number: 1972677532
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0919149
LAB Type Other - RESIDENTIAL SUBSTANCE ABU
Facility Name CARE CARLTON
Street 810 3RD ST, STE 102
City CARLTON
State MN
ZIP 55718
Phone 218 384-7015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Other - RESIDENTIAL SUBSTANCE ABU
Lab Director AMANDA GOERTZ

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