24D2139966 CLIA NUMBER - SHERBURNE COUNTY JAIL MEDICAL UNIT

Laboratory Demographics

  • CLIA Code: 24D2139966
  • Facility Name: SHERBURNE COUNTY JAIL MEDICAL UNIT
  • Facility Address: 13880 BUSINESS CENTER DRIVE
    ELK RIVER, MN
    ZIP 55330
  • Facility Phone: 763 765-3850
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DIANA R. VANDERBEEK
  • NPI Number: 1447381660
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 24D2139966
LAB Type Prison
Facility Name SHERBURNE COUNTY JAIL MEDICAL UNIT
Street 13880 BUSINESS CENTER DRIVE
City ELK RIVER
State MN
ZIP 55330
Phone 763 765-3850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Prison
Lab Director DIANA R. VANDERBEEK

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