24D2095018 CLIA NUMBER - MANKATO CLINIC

Laboratory Demographics

  • CLIA Code: 24D2095018
  • Facility Name: MANKATO CLINIC
  • Facility Address: 1230 EAST MAIN STREET
    MANKATO, MN
    ZIP 56001
  • Facility Phone: 507 389-8634
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT G. NELSON
  • NPI Number: 1629044029
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D2095018
LAB Type Physician Office
Facility Name MANKATO CLINIC
Street 1230 EAST MAIN STREET
City MANKATO
State MN
ZIP 56001
Phone 507 389-8634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director SCOTT G. NELSON

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