24D0990984 CLIA NUMBER - INTEGRACARE LTD

Laboratory Demographics

  • CLIA Code: 24D0990984
  • Facility Name: INTEGRACARE LTD
  • Facility Address: 100 2ND ST SOUTH
    SARTELL, MN
    ZIP 56377
  • Facility Phone: 320 251-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUNELL M. PETERSEN
  • NPI Number: 1770646937
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0990984
LAB Type Physician Office
Facility Name INTEGRACARE LTD
Street 100 2ND ST SOUTH
City SARTELL
State MN
ZIP 56377
Phone 320 251-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director JUNELL M. PETERSEN

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