24D2068741 CLIA NUMBER - CENTER FOR PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 24D2068741
  • Facility Name: CENTER FOR PRIMARY CARE
  • Facility Address: 717 SOUTH STATE STREET SUITE 800
    FAIRMONT, MN
    ZIP 56031
  • Facility Phone: 507 238-4949
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COREY T. WELCHLIN
  • NPI Number: 1639696206
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2068741
LAB Type Physician Office
Facility Name CENTER FOR PRIMARY CARE
Street 717 SOUTH STATE STREET SUITE 800
City FAIRMONT
State MN
ZIP 56031
Phone 507 238-4949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director COREY T. WELCHLIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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