24D2034750 CLIA NUMBER - ESSENTIA HEALTH ST JOSEPHS - BAXTER CLINIC

Laboratory Demographics

  • CLIA Code: 24D2034750
  • Facility Name: ESSENTIA HEALTH ST JOSEPHS - BAXTER CLINIC
  • Facility Address: 13060 ISLE DRIVE
    BAXTER, MN
    ZIP 56425
  • Facility Phone: 218 454-5910
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. DIANNE M. KENDALL
  • NPI Number: 1841576261
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2034750
LAB Type Physician Office
Facility Name ESSENTIA HEALTH ST JOSEPHS - BAXTER CLINIC
Street 13060 ISLE DRIVE
City BAXTER
State MN
ZIP 56425
Phone 218 454-5910
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DR. DIANNE M. KENDALL

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