24D1064699 CLIA NUMBER - CENTRACARE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 24D1064699
  • Facility Name: CENTRACARE SURGERY CENTER
  • Facility Address: 1900 CENTRACARE CIRCLE
    SAINT CLOUD, MN
    ZIP 56303
  • Facility Phone: 320 229-4964
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KAREN C. KINSLEY
  • NPI Number: 1861538613
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Ambulatory Surgery Center
Lab Director KAREN C. KINSLEY

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