24D2250656 CLIA NUMBER - JENNIE O FARIBAULT

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CLIA Record

Field Name Field Value
CLIA Number 24D2250656
LAB Type Independent
Facility Name JENNIE O FARIBAULT
Street 1116 4TH AVE NW
City FARIBAULT
State MN
ZIP 55021
Phone 507 332-5338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Independent
Lab Director JENNIFER FRANGOS

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