Healther Providers Data Logo

24D0967345 CLIA NUMBER - ESSENTIA HEALTH DULUTH CLINIC

Laboratory Demographics

CLIA Number: 24D0967345

Facility Name: ESSENTIA HEALTH DULUTH CLINIC

Facility Address:
400 EAST 3RD STREET
DULUTH, MN
ZIP 55805
Get Directions

Facility Phone Number: 218 576-0448

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1518073923

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 24D0967345
LAB Type Physician Office
Facility Name ESSENTIA HEALTH DULUTH CLINIC
Street 400 EAST 3RD STREET
City DULUTH
State MN
ZIP 55805
Phone 218 576-0448
CertificateType 2
CertificateEffectiveDate 10/10/2022
CertificateExpirationDate 10/9/2024
FacilityType Compliance

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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