24D2271354 CLIA NUMBER - PRINCETON PUBLIC SCHOOLS ISD 477

Laboratory Demographics

  • CLIA Code: 24D2271354
  • Facility Name: PRINCETON PUBLIC SCHOOLS ISD 477
  • Facility Address: 706 1ST STREET
    PRINCETON, MN
    ZIP 55371
  • Facility Phone: 763 389-6195
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: NICOLE K. WYGANOWSKI
  • NPI Number: 1861564130
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D2271354
LAB Type School/Student Health Service
Facility Name PRINCETON PUBLIC SCHOOLS ISD 477
Street 706 1ST STREET
City PRINCETON
State MN
ZIP 55371
Phone 763 389-6195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type School/Student Health Service
Lab Director NICOLE K. WYGANOWSKI

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