24D2137127 CLIA NUMBER - BECKER COUNTY COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 24D2137127
  • Facility Name: BECKER COUNTY COMMUNITY HEALTH
  • Facility Address: 712 MINNESOTA AVE
    DETROIT LAKES, MN
    ZIP 56501
  • Facility Phone: 218 847-5628
  • Facility Type: Other - WIC
  • Facility Type: Waiver
  • Lab Director: KRIS BAUSMAN
  • NPI Number: 1518284272
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2137127
LAB Type Other - WIC
Facility Name BECKER COUNTY COMMUNITY HEALTH
Street 712 MINNESOTA AVE
City DETROIT LAKES
State MN
ZIP 56501
Phone 218 847-5628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Other - WIC
Lab Director KRIS BAUSMAN

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