24D0932679 CLIA NUMBER - EDGERTON FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 24D0932679
  • Facility Name: EDGERTON FAMILY CLINIC
  • Facility Address: 303 5TH AVE N
    EDGERTON, MN
    ZIP 56128
  • Facility Phone: 507 442-5424
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMY S. NELSON
  • NPI Number: 1891876223
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0932679
LAB Type Practitioner Other
Facility Name EDGERTON FAMILY CLINIC
Street 303 5TH AVE N
City EDGERTON
State MN
ZIP 56128
Phone 507 442-5424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Practitioner Other
Lab Director AMY S. NELSON

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