24D2145543 CLIA NUMBER - STARBUCK MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 24D2145543
  • Facility Name: STARBUCK MEDICAL CENTER
  • Facility Address: 707 EAST 7TH STREET
    STARBUCK, MN
    ZIP 56381
  • Facility Phone: 320 239-2200
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DAVID E. POLZIN
  • NPI Number: 1720162787
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2145543
LAB Type Rural Health Clinic
Facility Name STARBUCK MEDICAL CENTER
Street 707 EAST 7TH STREET
City STARBUCK
State MN
ZIP 56381
Phone 320 239-2200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Rural Health Clinic
Lab Director DAVID E. POLZIN

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