24D2267203 CLIA NUMBER - CENTRACARE COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 24D2267203
  • Facility Name: CENTRACARE COMMUNITY HEALTH
  • Facility Address: 3001 CLEARWATER RD
    SAINT CLOUD, MN
    ZIP 56301
  • Facility Phone: 320 492-8376
  • Facility Type: Other - TEMPORARY TESTING SITES
  • Facility Type: Waiver
  • Lab Director: DANIELLE A. PROTIVINSKY
  • NPI Number: 1366192759
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2267203
LAB Type Other - TEMPORARY TESTING SITES
Facility Name CENTRACARE COMMUNITY HEALTH
Street 3001 CLEARWATER RD
City SAINT CLOUD
State MN
ZIP 56301
Phone 320 492-8376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Other - TEMPORARY TESTING SITES
Lab Director DANIELLE A. PROTIVINSKY

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