24D2206811 CLIA NUMBER - ALLUMA, INC

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Laboratory Demographics

CLIA Number: 24D2206811

Facility Name: ALLUMA, INC

Facility Address:
603 BRUCE STREET
CROOKSTON, MN
ZIP 56716
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Facility Phone Number: 218 281-3940

Facility Type: Other - MENTAL HEALTH -OP AND ADU

Certificate Type: Waiver

NPI Number: 1508835133

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D2206811
LAB Type	Other - MENTAL HEALTH -OP AND ADU
Facility Name	ALLUMA, INC
Street	603 BRUCE STREET
City	CROOKSTON
State	MN
ZIP	56716
Phone	218 281-3940
CertificateType	4
CertificateEffectiveDate	12/22/2022
CertificateExpirationDate	12/21/2024
FacilityType	Waiver

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