24D0945311 CLIA NUMBER - ALTRU CLINIC - THIEF RIVER FALLS

Laboratory Demographics

CLIA Number: 24D0945311

Facility Name: ALTRU CLINIC - THIEF RIVER FALLS

Facility Address:
1845 HWY 59 S SUITE 800
THIEF RIVER FALLS, MN
ZIP 56701
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Facility Phone Number: 218 681-7280

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1285074328

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D0945311
LAB Type	Community Clinic
Facility Name	ALTRU CLINIC - THIEF RIVER FALLS
Street	1845 HWY 59 S SUITE 800
City	THIEF RIVER FALLS
State	MN
ZIP	56701
Phone	218 681-7280
CertificateType	1
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Accreditation

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