24D2076445 CLIA NUMBER - BONNER EYE CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 24D2076445
LAB Type Physician Office
Facility Name BONNER EYE CLINIC
Street 3605 MAYFAIR AVE SUITE 2150
City HIBBING
State MN
ZIP 55746
Phone 218 326-3433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director M JERRY MARIANO

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