24D2077969 CLIA NUMBER - NORTHWOODS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 24D2077969
  • Facility Name: NORTHWOODS SURGERY CENTER LLC
  • Facility Address: 502 NORTH 6TH AVE WEST
    VIRGINIA, MN
    ZIP 55792
  • Facility Phone: 218 741-4411
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIDGET A. SUNDELL
  • NPI Number: 1427471911
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2077969
LAB Type Ambulatory Surgery Center
Facility Name NORTHWOODS SURGERY CENTER LLC
Street 502 NORTH 6TH AVE WEST
City VIRGINIA
State MN
ZIP 55792
Phone 218 741-4411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIDGET A. SUNDELL

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