24D2240112 CLIA NUMBER - CASS LAKE-BENA SCHOOLS

Laboratory Demographics

  • CLIA Code: 24D2240112
  • Facility Name: CASS LAKE-BENA SCHOOLS
  • Facility Address: 208 CENTRAL AVENUE
    CASS LAKE, MN
    ZIP 56633
  • Facility Phone: 218 335-2203
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MELISSA N. JENSON
  • NPI Number: 1609966019
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2240112
LAB Type School/Student Health Service
Facility Name CASS LAKE-BENA SCHOOLS
Street 208 CENTRAL AVENUE
City CASS LAKE
State MN
ZIP 56633
Phone 218 335-2203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type School/Student Health Service
Lab Director MELISSA N. JENSON

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