24D1001893 CLIA NUMBER - MINNESOTA CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 24D1001893
  • Facility Name: MINNESOTA CORRECTIONAL FACILITY
  • Facility Address: 2305 MINNESOTA BLVD
    SAINT CLOUD, MN
    ZIP 56304
  • Facility Phone: 320 240-7007
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: APRIL ZAMORA
  • NPI Number: 1033868203
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1001893
LAB Type Prison
Facility Name MINNESOTA CORRECTIONAL FACILITY
Street 2305 MINNESOTA BLVD
City SAINT CLOUD
State MN
ZIP 56304
Phone 320 240-7007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Prison
Lab Director APRIL ZAMORA

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