24D2062859 CLIA NUMBER - VINLAND NATIONAL CENTER

Laboratory Demographics

  • CLIA Code: 24D2062859
  • Facility Name: VINLAND NATIONAL CENTER
  • Facility Address: 3675 IHDUHAPI TRAIL
    LORETTO, MN
    ZIP 55357
  • Facility Phone: (763) 479-3555
  • Facility Type: Other - CD TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: JOHN E. SIMON
  • NPI Number: 1144329632
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2062859
LAB Type Other - CD TREATMENT FACILITY
Facility Name VINLAND NATIONAL CENTER
Street 3675 IHDUHAPI TRAIL
City LORETTO
State MN
ZIP 55357
Phone 7634793555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Other - CD TREATMENT FACILITY
Lab Director JOHN E. SIMON

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This page was last updated on: 6/29/2026