24D1001495 CLIA NUMBER - SAWTOOTH MOUNTAIN CLINIC INC

Laboratory Demographics

  • CLIA Code: 24D1001495
  • Facility Name: SAWTOOTH MOUNTAIN CLINIC INC
  • Facility Address: 513 5TH AVENUE WEST
    GRAND MARAIS, MN
    ZIP 55604
  • Facility Phone: 218 387-2330
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KATE SURBAUGH
  • NPI Number: 1497368633
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1001495
LAB Type Community Clinic
Facility Name SAWTOOTH MOUNTAIN CLINIC INC
Street 513 5TH AVENUE WEST
City GRAND MARAIS
State MN
ZIP 55604
Phone 218 387-2330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Community Clinic
Lab Director KATE SURBAUGH

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