24D2135435 CLIA NUMBER - DULUTH SURGICAL SUITES LLC

Laboratory Demographics

  • CLIA Code: 24D2135435
  • Facility Name: DULUTH SURGICAL SUITES LLC
  • Facility Address: 2118 LONDON ROAD
    DULUTH, MN
    ZIP 55812
  • Facility Phone: 218 522-0634
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: PATRICK G. HALL
  • NPI Number: 1730603622
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2135435
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DULUTH SURGICAL SUITES LLC
Street 2118 LONDON ROAD
City DULUTH
State MN
ZIP 55812
Phone 218 522-0634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director PATRICK G. HALL

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