24D2015347 CLIA NUMBER - REJUV MEDICAL, PA

Home > CLIA Lookup > 24D2015347

Laboratory Demographics

CLIA Number: 24D2015347

Facility Name: REJUV MEDICAL, PA

Facility Address:
901 3RD ST N
WAITE PARK, MN
ZIP 56387
Get Directions

Facility Phone Number: 320 217-8480

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033355086

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	24D2015347
LAB Type	Physician Office
Facility Name	REJUV MEDICAL, PA
Street	901 3RD ST N
City	WAITE PARK
State	MN
ZIP	56387
Phone	320 217-8480
CertificateType	4
CertificateEffectiveDate	5/20/2022
CertificateExpirationDate	5/19/2024
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