24D1049214 CLIA NUMBER - RED LAKE COMPREHENSIVE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 24D1049214
  • Facility Name: RED LAKE COMPREHENSIVE HEALTH SERVICES
  • Facility Address: 24760 HOSPITAL DRIVE
    REDLAKE, MN
    ZIP 56671
  • Facility Phone: 218 679-3316
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LAUREL LUSSIER
  • NPI Number: 1841337326
  • Taxonomy: 146N00000X - Emergency Medical Technician, Basic

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CLIA Record

Field Name Field Value
CLIA Number 24D1049214
LAB Type Other
Facility Name RED LAKE COMPREHENSIVE HEALTH SERVICES
Street 24760 HOSPITAL DRIVE
City REDLAKE
State MN
ZIP 56671
Phone 218 679-3316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Other
Lab Director LAUREL LUSSIER

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