24D1054445 CLIA NUMBER - PINECONE VISION CENTER

Laboratory Demographics

  • CLIA Code: 24D1054445
  • Facility Name: PINECONE VISION CENTER
  • Facility Address: 2180 TROOP DRIVE
    SARTELL, MN
    ZIP 56377
  • Facility Phone: 320 258-3915
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS COLATRELLA
  • NPI Number: 1467836650
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D1054445
LAB Type Physician Office
Facility Name PINECONE VISION CENTER
Street 2180 TROOP DRIVE
City SARTELL
State MN
ZIP 56377
Phone 320 258-3915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director NICHOLAS COLATRELLA

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