24D0927853 CLIA NUMBER - CENTRACARE - BECKER CLINIC

Laboratory Demographics

  • CLIA Code: 24D0927853
  • Facility Name: CENTRACARE - BECKER CLINIC
  • Facility Address: 12800 ROLLING RIDGE RD
    BECKER, MN
    ZIP 55308
  • Facility Phone: 763 271-2819
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRIAN L. MACKENZII
  • NPI Number: 1710048590
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0927853
LAB Type Physician Office
Facility Name CENTRACARE - BECKER CLINIC
Street 12800 ROLLING RIDGE RD
City BECKER
State MN
ZIP 55308
Phone 763 271-2819
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director BRIAN L. MACKENZII

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