24D2307163 CLIA NUMBER - CORNERSTONE CLINIC

Laboratory Demographics

  • CLIA Code: 24D2307163
  • Facility Name: CORNERSTONE CLINIC
  • Facility Address: 410 DOWNTOWN PLAZA
    FAIRMONT, MN
    ZIP 56031
  • Facility Phone: 507 399-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMANTHA A. FARNUM
  • NPI Number: 1801575725
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2307163
LAB Type Physician Office
Facility Name CORNERSTONE CLINIC
Street 410 DOWNTOWN PLAZA
City FAIRMONT
State MN
ZIP 56031
Phone 507 399-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director SAMANTHA A. FARNUM

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