24D1053626 CLIA NUMBER - BRAINERD LAKES SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 24D1053626
  • Facility Name: BRAINERD LAKES SURGERY CENTER LLC
  • Facility Address: 13114 ISLE DRIVE
    BAXTER, MN
    ZIP 56425
  • Facility Phone: 218 822-2400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAMELA J. CARTER
  • NPI Number: 1750378295
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1053626
LAB Type Ambulatory Surgery Center
Facility Name BRAINERD LAKES SURGERY CENTER LLC
Street 13114 ISLE DRIVE
City BAXTER
State MN
ZIP 56425
Phone 218 822-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Ambulatory Surgery Center
Lab Director PAMELA J. CARTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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