24D1055168 CLIA NUMBER - RIVER VIEW CLINIC LABORATORY- FERTILE

Laboratory Demographics

  • CLIA Code: 24D1055168
  • Facility Name: RIVER VIEW CLINIC LABORATORY- FERTILE
  • Facility Address: 306 NORTH MILL STREET
    FERTILE, MN
    ZIP 56540
  • Facility Phone: 218 945-6695
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: EMILY J. NELSON
  • NPI Number: 1750671186
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1055168
LAB Type Community Clinic
Facility Name RIVER VIEW CLINIC LABORATORY- FERTILE
Street 306 NORTH MILL STREET
City FERTILE
State MN
ZIP 56540
Phone 218 945-6695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Community Clinic
Lab Director EMILY J. NELSON

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