24D0996990 CLIA NUMBER - MANKATO SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 24D0996990
  • Facility Name: MANKATO SURGICAL CENTER LLC
  • Facility Address: 1411 PREMIER DRIVE
    MANKATO, MN
    ZIP 56001
  • Facility Phone: 507 388-6000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NATALIYA DANYLKOVA
  • NPI Number: 1720161615
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0996990
LAB Type Ambulatory Surgery Center
Facility Name MANKATO SURGICAL CENTER LLC
Street 1411 PREMIER DRIVE
City MANKATO
State MN
ZIP 56001
Phone 507 388-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Ambulatory Surgery Center
Lab Director NATALIYA DANYLKOVA

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