24D0934038 CLIA NUMBER - AVERA MEDICAL GROUP LAKE BENTON

Laboratory Demographics

  • CLIA Code: 24D0934038
  • Facility Name: AVERA MEDICAL GROUP LAKE BENTON
  • Facility Address: 109 E BENTON
    LAKE BENTON, MN
    ZIP 56149
  • Facility Phone: (507) 368-4323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEENA L. AUS
  • NPI Number: 1003869892
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0934038
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP LAKE BENTON
Street 109 E BENTON
City LAKE BENTON
State MN
ZIP 56149
Phone 5073684323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director DEENA L. AUS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026