24D2263992 CLIA NUMBER - KITTSON COUNTY PUBLIC HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 24D2263992
  • Facility Name: KITTSON COUNTY PUBLIC HEALTH DEPARTMENT
  • Facility Address: 1010 SOUTH BIRCH AVENUE, PO BOX 430
    HALLOCK, MN
    ZIP 56728
  • Facility Phone: 218 843-3612
  • Facility Type: Other - LOCAL PUBLIC HEALTH DEPAR
  • Facility Type: Waiver
  • Lab Director: JEANNA M. KUJAVA
  • NPI Number: 1477684041
  • Taxonomy: 104100000X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 24D2263992
LAB Type Other - LOCAL PUBLIC HEALTH DEPAR
Facility Name KITTSON COUNTY PUBLIC HEALTH DEPARTMENT
Street 1010 SOUTH BIRCH AVENUE, PO BOX 430
City HALLOCK
State MN
ZIP 56728
Phone 218 843-3612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Other - LOCAL PUBLIC HEALTH DEPAR
Lab Director JEANNA M. KUJAVA

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