24D2247723 CLIA NUMBER - LIBERTY HEALTH

Laboratory Demographics

  • CLIA Code: 24D2247723
  • Facility Name: LIBERTY HEALTH
  • Facility Address: 1361 WENNER ROAD
    DETROIT LAKES, MN
    ZIP 56501
  • Facility Phone: 218 779-7005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT A. LAWRENCE
  • NPI Number: 1093471484
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2247723
LAB Type Physician Office
Facility Name LIBERTY HEALTH
Street 1361 WENNER ROAD
City DETROIT LAKES
State MN
ZIP 56501
Phone 218 779-7005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director SCOTT A. LAWRENCE

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