24D2241425 CLIA NUMBER - CENTRAL IMAGING LLC DBA ALLIANCE IMAGING

Laboratory Demographics

  • CLIA Code: 24D2241425
  • Facility Name: CENTRAL IMAGING LLC DBA ALLIANCE IMAGING
  • Facility Address: 3351 ROOSEVELT ROAD
    SAINT CLOUD, MN
    ZIP 56301
  • Facility Phone: 320 255-6530
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HOLLY A. TEGELS
  • NPI Number: 1457967234
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 24D2241425
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL IMAGING LLC DBA ALLIANCE IMAGING
Street 3351 ROOSEVELT ROAD
City SAINT CLOUD
State MN
ZIP 56301
Phone 320 255-6530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Ambulatory Surgery Center
Lab Director HOLLY A. TEGELS

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