24D1050236 CLIA NUMBER - ESSENTIA HEALTH SURGERY CENTER-GRAND RAPIDS

Laboratory Demographics

  • CLIA Code: 24D1050236
  • Facility Name: ESSENTIA HEALTH SURGERY CENTER-GRAND RAPIDS
  • Facility Address: 1542 GOLF COURSE ROAD #105
    GRAND RAPIDS, MN
    ZIP 55744
  • Facility Phone: 218 326-3433
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: COLLEEN HILL
  • NPI Number: 1265487474
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1050236
LAB Type Ambulatory Surgery Center
Facility Name ESSENTIA HEALTH SURGERY CENTER-GRAND RAPIDS
Street 1542 GOLF COURSE ROAD #105
City GRAND RAPIDS
State MN
ZIP 55744
Phone 218 326-3433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Ambulatory Surgery Center
Lab Director COLLEEN HILL

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