24D2207531 CLIA NUMBER - UPPER SIOUX COMMUNITY TRIBAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 24D2207531
  • Facility Name: UPPER SIOUX COMMUNITY TRIBAL HEALTH SERVICES
  • Facility Address: 5523 PRAIRIES EDGE LANE
    GRANITE FALLS, MN
    ZIP 56241
  • Facility Phone: 320 564-6359
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER LEE
  • NPI Number: 1962549022
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 24D2207531
LAB Type Community Clinic
Facility Name UPPER SIOUX COMMUNITY TRIBAL HEALTH SERVICES
Street 5523 PRAIRIES EDGE LANE
City GRANITE FALLS
State MN
ZIP 56241
Phone 320 564-6359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Community Clinic
Lab Director CHRISTOPHER LEE

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