24D0945311 CLIA NUMBER - ALTRU CLINIC - THIEF RIVER FALLS

Laboratory Demographics

  • CLIA Code: 24D0945311
  • Facility Name: ALTRU CLINIC - THIEF RIVER FALLS
  • Facility Address: 1845 HWY 59 S SUITE 800
    THIEF RIVER FALLS, MN
    ZIP 56701
  • Facility Phone: 218 681-7280
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HOLLY BERGH
  • NPI Number: 1285074328
  • Taxonomy: 261QR1300X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Community Clinic
Lab Director HOLLY BERGH

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