24D2176496 CLIA NUMBER - TWIN LAKES PRIMARY CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 24D2176496
  • Facility Name: TWIN LAKES PRIMARY CARE SERVICES LLC
  • Facility Address: 3620 BEMIDJI AVE N
    BEMIDJI, MN
    ZIP 56601
  • Facility Phone: 218 368-2093
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JILL S. CEASE
  • NPI Number: 1710545264
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2176496
LAB Type Practitioner Other
Facility Name TWIN LAKES PRIMARY CARE SERVICES LLC
Street 3620 BEMIDJI AVE N
City BEMIDJI
State MN
ZIP 56601
Phone 218 368-2093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Practitioner Other
Lab Director JILL S. CEASE

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