24D1064699 CLIA NUMBER - CENTRACARE SURGERY CENTER

Laboratory Demographics

CLIA Number: 24D1064699

Facility Name: CENTRACARE SURGERY CENTER

Facility Address:
1900 CENTRACARE CIRCLE
SAINT CLOUD, MN
ZIP 56303
Get Directions

Facility Phone Number: 320 229-4964

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1861538613

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D1064699
LAB Type	Ambulatory Surgery Center
Facility Name	CENTRACARE SURGERY CENTER
Street	1900 CENTRACARE CIRCLE
City	SAINT CLOUD
State	MN
ZIP	56303
Phone	320 229-4964
CertificateType	4
CertificateEffectiveDate	2/12/2023
CertificateExpirationDate	2/11/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024