24D2052754 CLIA NUMBER - MATTHEW A GAHN, OD

Laboratory Demographics

  • CLIA Code: 24D2052754
  • Facility Name: MATTHEW A GAHN, OD
  • Facility Address: 420 GRANT AVENUE
    EVELETH, MN
    ZIP 55734
  • Facility Phone: 218 744-4528
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. GAHN
  • NPI Number: 1548241938
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2052754
LAB Type Practitioner Other
Facility Name MATTHEW A GAHN, OD
Street 420 GRANT AVENUE
City EVELETH
State MN
ZIP 55734
Phone 218 744-4528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Practitioner Other
Lab Director MATTHEW A. GAHN

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