24D2240118 CLIA NUMBER - CANNON RIVER STEM SCHOOL

Laboratory Demographics

  • CLIA Code: 24D2240118
  • Facility Name: CANNON RIVER STEM SCHOOL
  • Facility Address: 1800 14TH STREET NE
    FARIBAULT, MN
    ZIP 55021
  • Facility Phone: 507 331-7836
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: WENDY FISHER
  • NPI Number: 1154723161
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2240118
LAB Type School/Student Health Service
Facility Name CANNON RIVER STEM SCHOOL
Street 1800 14TH STREET NE
City FARIBAULT
State MN
ZIP 55021
Phone 507 331-7836
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 WENDY FISHER

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