24D0939686 CLIA NUMBER - LAKEWOOD HEALTH SYSTEM - MOTLEY CLINIC

Laboratory Demographics

CLIA Number: 24D0939686

Facility Name: LAKEWOOD HEALTH SYSTEM - MOTLEY CLINIC

Facility Address:
1233 HWY 10
MOTLEY, MN
ZIP 56466
Get Directions

Facility Phone Number: 218 894-8435

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1912998089

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D0939686
LAB Type	Community Clinic
Facility Name	LAKEWOOD HEALTH SYSTEM - MOTLEY CLINIC
Street	1233 HWY 10
City	MOTLEY
State	MN
ZIP	56466
Phone	218 894-8435
CertificateType	2
CertificateEffectiveDate	4/17/2024
CertificateExpirationDate	4/16/2026
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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