24D2157459 CLIA NUMBER - HEALTHPARTNERS WELL AT WORK SHERBURNE COUNTY

Laboratory Demographics

CLIA Number: 24D2157459

Facility Name: HEALTHPARTNERS WELL AT WORK SHERBURNE COUNTY

Facility Address:
13880 BUSINESS CENTER DRIVE NW SUITE 2427
ELK RIVER, MN
ZIP 55330
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Facility Phone Number: 763 587-4704

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194051151

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 24D2157459
LAB Type Physician Office
Facility Name HEALTHPARTNERS WELL AT WORK SHERBURNE COUNTY
Street 13880 BUSINESS CENTER DRIVE NW SUITE 2427
City ELK RIVER
State MN
ZIP 55330
Phone 763 587-4704
CertificateType 4
CertificateEffectiveDate 11/6/2022
CertificateExpirationDate 11/5/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024