24D2151041 CLIA NUMBER - FOND DU LAC HUMAN SERVICES DIVISION - COMMUNITY SCREENING

Laboratory Demographics

  • CLIA Code: 24D2151041
  • Facility Name: FOND DU LAC HUMAN SERVICES DIVISION - COMMUNITY SCREENING
  • Facility Address: 927 TRETTEL LANE
    CLOQUET, MN
    ZIP 55720
  • Facility Phone: 218 879-1227
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: LISA M. HOLLINDAY
  • NPI Number: 1447606959
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2151041
LAB Type Health Fair
Facility Name FOND DU LAC HUMAN SERVICES DIVISION - COMMUNITY SCREENING
Street 927 TRETTEL LANE
City CLOQUET
State MN
ZIP 55720
Phone 218 879-1227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Health Fair
Lab Director LISA M. HOLLINDAY

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