24D2279014 CLIA NUMBER - ESSENTIA HEALTH ST JOSEPHS - DEERWOOD CLINIC

Laboratory Demographics

  • CLIA Code: 24D2279014
  • Facility Name: ESSENTIA HEALTH ST JOSEPHS - DEERWOOD CLINIC
  • Facility Address: 24087 CUYUNA STREET
    DEERWOOD, MN
    ZIP 56444
  • Facility Phone: 218 833-5173
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELLE L. ASHCROFT
  • NPI Number: 1477253045
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2279014
LAB Type Physician Office
Facility Name ESSENTIA HEALTH ST JOSEPHS - DEERWOOD CLINIC
Street 24087 CUYUNA STREET
City DEERWOOD
State MN
ZIP 56444
Phone 218 833-5173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director DANIELLE L. ASHCROFT

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