24D2240295 CLIA NUMBER - NEWPORT INSTITUTE - MONTICELLO

Laboratory Demographics

  • CLIA Code: 24D2240295
  • Facility Name: NEWPORT INSTITUTE - MONTICELLO
  • Facility Address: 123 90TH ST NE
    MONTICELLO, MN
    ZIP 55362
  • Facility Phone: 475 559-8165
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: COURTNEY GLASHAN
  • NPI Number: 1104490481
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2240295
LAB Type Practitioner Other
Facility Name NEWPORT INSTITUTE - MONTICELLO
Street 123 90TH ST NE
City MONTICELLO
State MN
ZIP 55362
Phone 475 559-8165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Practitioner Other
Lab Director COURTNEY GLASHAN

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