24D2148909 CLIA NUMBER - CENTRACARE CLINIC BAXTER

Laboratory Demographics

  • CLIA Code: 24D2148909
  • Facility Name: CENTRACARE CLINIC BAXTER
  • Facility Address: 7418 FORTHUN ROAD
    BAXTER, MN
    ZIP 56425
  • Facility Phone: 763 271-2819
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN R. JAGER
  • NPI Number: 1679025746
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2148909
LAB Type Physician Office
Facility Name CENTRACARE CLINIC BAXTER
Street 7418 FORTHUN ROAD
City BAXTER
State MN
ZIP 56425
Phone 763 271-2819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director ERIN R. JAGER

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