24D2296721 CLIA NUMBER - AVERA MARSHALL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 24D2296721
  • Facility Name: AVERA MARSHALL DERMATOLOGY
  • Facility Address: 300 S BRUCE ST
    MARSHALL, MN
    ZIP 56258
  • Facility Phone: 507 532-9661
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: ANNA R. GREGOIRE
  • NPI Number: 1952727463
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2296721
LAB Type Practitioner Other
Facility Name AVERA MARSHALL DERMATOLOGY
Street 300 S BRUCE ST
City MARSHALL
State MN
ZIP 56258
Phone 507 532-9661
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Practitioner Other
Lab Director ANNA R. GREGOIRE

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