24D2264175 CLIA NUMBER - COMPCARE URGENT AND OCC MEDICINE

Laboratory Demographics

  • CLIA Code: 24D2264175
  • Facility Name: COMPCARE URGENT AND OCC MEDICINE
  • Facility Address: 7500 80TH ST S STE 100
    COTTAGE GROVE, MN
    ZIP 55016
  • Facility Phone: 651 508-0936
  • Facility Type: Other - URGENT/OCCUPATIONAL MEDIC
  • Facility Type: Waiver
  • Lab Director: COOPER RENDON
  • NPI Number: 1396476032
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 24D2264175
LAB Type Other - URGENT/OCCUPATIONAL MEDIC
Facility Name COMPCARE URGENT AND OCC MEDICINE
Street 7500 80TH ST S STE 100
City COTTAGE GROVE
State MN
ZIP 55016
Phone 651 508-0936
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Other - URGENT/OCCUPATIONAL MEDIC
Lab Director COOPER RENDON

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This page was last updated on: 6/4/2025