24D2108574 CLIA NUMBER - LOWER SIOUX HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D2108574
  • Facility Name: LOWER SIOUX HEALTH CARE CENTER
  • Facility Address: 39648 RESERVATION HIGHWAY 3
    MORTON, MN
    ZIP 56270
  • Facility Phone: 507 697-8955
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Certificate of Compliance
  • Lab Director: RAE J. BULTHUIS
  • NPI Number: 1144693698
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 24D2108574
LAB Type Federally Qualified Health Center
Facility Name LOWER SIOUX HEALTH CARE CENTER
Street 39648 RESERVATION HIGHWAY 3
City MORTON
State MN
ZIP 56270
Phone 507 697-8955
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Federally Qualified Health Center
Lab Director RAE J. BULTHUIS

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This page was last updated on: 3/20/2025