24D2241825 CLIA NUMBER - MOOSE LAKE COMMUNITY SCHOOL

Laboratory Demographics

  • CLIA Code: 24D2241825
  • Facility Name: MOOSE LAKE COMMUNITY SCHOOL
  • Facility Address: 4812 COUNTY ROAD 10
    MOOSE LAKE, MN
    ZIP 55767
  • Facility Phone: 218 485-4435
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: NAOMI I. MOWERS
  • NPI Number: 1548580228
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2241825
LAB Type School/Student Health Service
Facility Name MOOSE LAKE COMMUNITY SCHOOL
Street 4812 COUNTY ROAD 10
City MOOSE LAKE
State MN
ZIP 55767
Phone 218 485-4435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type School/Student Health Service
Lab Director NAOMI I. MOWERS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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