24D2024838 CLIA NUMBER - CROSSROADS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 24D2024838
  • Facility Name: CROSSROADS SURGERY CENTER
  • Facility Address: 1575 - 20TH STREET NW #203
    FARIBAULT, MN
    ZIP 55021
  • Facility Phone: 507 209-6226
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL G. RICHIE
  • NPI Number: 1114057023
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2024838
LAB Type Ambulatory Surgery Center
Facility Name CROSSROADS SURGERY CENTER
Street 1575 - 20TH STREET NW #203
City FARIBAULT
State MN
ZIP 55021
Phone 507 209-6226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL G. RICHIE

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