24D2268481 CLIA NUMBER - WADENA COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 24D2268481
  • Facility Name: WADENA COUNTY JAIL
  • Facility Address: 415 JEFFERSON ST S
    WADENA, MN
    ZIP 56482
  • Facility Phone: 218 632-7600
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: MICHAEL CARR
  • NPI Number: 1962631473
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 24D2268481
LAB Type Other - COUNTY JAIL
Facility Name WADENA COUNTY JAIL
Street 415 JEFFERSON ST S
City WADENA
State MN
ZIP 56482
Phone 218 632-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Other - COUNTY JAIL
Lab Director MICHAEL CARR

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