24D2271141 CLIA NUMBER - ALTRU CLINIC WARROAD

Laboratory Demographics

  • CLIA Code: 24D2271141
  • Facility Name: ALTRU CLINIC WARROAD
  • Facility Address: 412 NORTH MAIN AVE
    WARROAD, MN
    ZIP 56763
  • Facility Phone: 218 386-2020
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ALLYSON J. THORTSEN
  • NPI Number: 1689763195
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2271141
LAB Type Rural Health Clinic
Facility Name ALTRU CLINIC WARROAD
Street 412 NORTH MAIN AVE
City WARROAD
State MN
ZIP 56763
Phone 218 386-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Rural Health Clinic
Lab Director ALLYSON J. THORTSEN

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