24D2059968 CLIA NUMBER - CROSBY EYE CLINIC/GREAT RIVER EYE CLINIC S SJOBERG PLC

Laboratory Demographics

  • CLIA Code: 24D2059968
  • Facility Name: CROSBY EYE CLINIC/GREAT RIVER EYE CLINIC S SJOBERG PLC
  • Facility Address: ONE 3RD AVENUE NE
    CROSBY, MN
    ZIP 56441
  • Facility Phone: 218 546-5108
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACY A. SJOBERG
  • NPI Number: 1659550820
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 24D2059968
LAB Type Physician Office
Facility Name CROSBY EYE CLINIC/GREAT RIVER EYE CLINIC S SJOBERG PLC
Street ONE 3RD AVENUE NE
City CROSBY
State MN
ZIP 56441
Phone 218 546-5108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director STACY A. SJOBERG

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