24D1077667 CLIA NUMBER - OLMSTED MEDICAL CENTER - FASTCARE SOUTH

Laboratory Demographics

  • CLIA Code: 24D1077667
  • Facility Name: OLMSTED MEDICAL CENTER - FASTCARE SOUTH
  • Facility Address: 90 14TH STREET SW, SUITE 200
    ROCHESTER, MN
    ZIP 55902
  • Facility Phone: 507 529-6662
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANN CHURCHILL
  • NPI Number: 1013277789
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1077667
LAB Type Community Clinic
Facility Name OLMSTED MEDICAL CENTER - FASTCARE SOUTH
Street 90 14TH STREET SW, SUITE 200
City ROCHESTER
State MN
ZIP 55902
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 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Community Clinic
Lab Director ANN CHURCHILL

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