24D2214446 CLIA NUMBER - HOUSTON COUNTY JAIL MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 24D2214446
  • Facility Name: HOUSTON COUNTY JAIL MEDICAL CLINIC
  • Facility Address: 304 SO MARSHALL STREET
    CALEDONIA, MN
    ZIP 55921
  • Facility Phone: 507 725-3379
  • Facility Type: Other - COUNTY JAIL - CORRECTIONA
  • Facility Type: Waiver
  • Lab Director: DEAN OTT
  • NPI Number: 1073843603
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 24D2214446
LAB Type Other - COUNTY JAIL - CORRECTIONA
Facility Name HOUSTON COUNTY JAIL MEDICAL CLINIC
Street 304 SO MARSHALL STREET
City CALEDONIA
State MN
ZIP 55921
Phone 507 725-3379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Other - COUNTY JAIL - CORRECTIONA
Lab Director DEAN OTT

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