24D2084182 CLIA NUMBER - VERNDALE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 24D2084182
  • Facility Name: VERNDALE MEDICAL CLINIC
  • Facility Address: 102 FARWELL STREET
    VERNDALE, MN
    ZIP 56481
  • Facility Phone: 218 631-7502
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TONYA A. BEULKE
  • NPI Number: 1407262405
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2084182
LAB Type Rural Health Clinic
Facility Name VERNDALE MEDICAL CLINIC
Street 102 FARWELL STREET
City VERNDALE
State MN
ZIP 56481
Phone 218 631-7502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Rural Health Clinic
Lab Director TONYA A. BEULKE

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