24D2039081 CLIA NUMBER - GRANITE FALLS EYECARE INC

Laboratory Demographics

  • CLIA Code: 24D2039081
  • Facility Name: GRANITE FALLS EYECARE INC
  • Facility Address: 219 14TH STREET SOUTH
    BENSON, MN
    ZIP 56215
  • Facility Phone: 320 842-4131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TODD E. TRUDEL
  • NPI Number: 1831590777
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2039081
LAB Type Physician Office
Facility Name GRANITE FALLS EYECARE INC
Street 219 14TH STREET SOUTH
City BENSON
State MN
ZIP 56215
Phone 320 842-4131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director TODD E. TRUDEL

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