24D2251131 CLIA NUMBER - CROOKSTON PUBLIC SCHOOLS

Laboratory Demographics

CLIA Number: 24D2251131

Facility Name: CROOKSTON PUBLIC SCHOOLS

Facility Address:
402 FISHER AVE SUITE 593
CROOKSTON, MN
ZIP 56716
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Facility Phone Number: 218 281-2144

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1093910838

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	24D2251131
LAB Type	School/Student Health Service
Facility Name	CROOKSTON PUBLIC SCHOOLS
Street	402 FISHER AVE SUITE 593
City	CROOKSTON
State	MN
ZIP	56716
Phone	218 281-2144
CertificateType	4
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024