24D1027726 CLIA NUMBER - ESSENTIA HEALTH DULUTH CLINIC 2ND STREET LABORATORY

Laboratory Demographics

  • CLIA Code: 24D1027726
  • Facility Name: ESSENTIA HEALTH DULUTH CLINIC 2ND STREET LABORATORY
  • Facility Address: 400 EAST 2ND STREET
    DULUTH, MN
    ZIP 55805
  • Facility Phone: 218 786-4053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIANNA JOHNSON
  • NPI Number: 1518073923
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1027726
LAB Type Physician Office
Facility Name ESSENTIA HEALTH DULUTH CLINIC 2ND STREET LABORATORY
Street 400 EAST 2ND STREET
City DULUTH
State MN
ZIP 55805
Phone 218 786-4053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director BRIANNA JOHNSON

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