24D2091799 CLIA NUMBER - PROSPER INC DBA RED RIVER RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 24D2091799
  • Facility Name: PROSPER INC DBA RED RIVER RECOVERY CENTER
  • Facility Address: 701 CENTER AVE E
    DILWORTH, MN
    ZIP 56529
  • Facility Phone: 218 284-7772
  • Facility Type: Other - RESIDENTIAL SUBSTANCE USE
  • Facility Type: Waiver
  • Lab Director: STACY G. KEEPING
  • NPI Number: 1275045718
  • Taxonomy: 261QR0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2091799
LAB Type Other - RESIDENTIAL SUBSTANCE USE
Facility Name PROSPER INC DBA RED RIVER RECOVERY CENTER
Street 701 CENTER AVE E
City DILWORTH
State MN
ZIP 56529
Phone 218 284-7772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Other - RESIDENTIAL SUBSTANCE USE
Lab Director STACY G. KEEPING

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