24D1068797 CLIA NUMBER - OLMSTED MEDICAL CENTER - FASTCARE NORTH

Laboratory Demographics

  • CLIA Code: 24D1068797
  • Facility Name: OLMSTED MEDICAL CENTER - FASTCARE NORTH
  • Facility Address: 102 ELTON HILLS DRIVE NW, SUIUTE 200
    ROCHESTER, MN
    ZIP 55901
  • Facility Phone: 507 529-6662
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANN CHURCHILL
  • NPI Number: 1811241169
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1068797
LAB Type Physician Office
Facility Name OLMSTED MEDICAL CENTER - FASTCARE NORTH
Street 102 ELTON HILLS DRIVE NW, SUIUTE 200
City ROCHESTER
State MN
ZIP 55901
Phone 507 529-6662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director ANN CHURCHILL

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