24D2275361 CLIA NUMBER - ST JAMES CBOC

Laboratory Demographics

  • CLIA Code: 24D2275361
  • Facility Name: ST JAMES CBOC
  • Facility Address: 1103 13TH AVE S
    ST JAMES, MN
    ZIP 56081
  • Facility Phone: 507 375-9670
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JUSTIN PELTOLA
  • NPI Number: 1669699005
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D2275361
LAB Type Community Clinic
Facility Name ST JAMES CBOC
Street 1103 13TH AVE S
City ST JAMES
State MN
ZIP 56081
Phone 507 375-9670
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/20/2023
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JUSTIN PELTOLA

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