24D2251375 CLIA NUMBER - REGIONAL FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 24D2251375
  • Facility Name: REGIONAL FAMILY PRACTICE LLC
  • Facility Address: 1743 7TH STREET SOUTH
    SAINT CLOUD, MN
    ZIP 56301
  • Facility Phone: 651 666-0846
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HASSAN SIRAT
  • NPI Number: 1679141378
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2251375
LAB Type Community Clinic
Facility Name REGIONAL FAMILY PRACTICE LLC
Street 1743 7TH STREET SOUTH
City SAINT CLOUD
State MN
ZIP 56301
Phone 651 666-0846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Community Clinic
Lab Director HASSAN SIRAT

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