24D2245009 CLIA NUMBER - KASSON MANTORVILLE SCHOOLS - ISD #204

Laboratory Demographics

  • CLIA Code: 24D2245009
  • Facility Name: KASSON MANTORVILLE SCHOOLS - ISD #204
  • Facility Address: 101 16TH STREET NE
    KASSON, MN
    ZIP 55944
  • Facility Phone: 507 634-1108
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: TAMERA RICHARD
  • NPI Number: 1043399694
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2245009
LAB Type School/Student Health Service
Facility Name KASSON MANTORVILLE SCHOOLS - ISD #204
Street 101 16TH STREET NE
City KASSON
State MN
ZIP 55944
Phone 507 634-1108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type School/Student Health Service
Lab Director TAMERA RICHARD

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This page was last updated on: 3/20/2025