24D2318452 CLIA NUMBER - NYSTROM & ASSOCIATES

Laboratory Demographics

  • CLIA Code: 24D2318452
  • Facility Name: NYSTROM & ASSOCIATES
  • Facility Address: 201 28TH AVE SW
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 651 628-9566
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JONATHAN C. UECKER
  • NPI Number: 1790872562
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 24D2318452
LAB Type Comp. Outpatient Rehab Facility
Facility Name NYSTROM & ASSOCIATES
Street 201 28TH AVE SW
City WILLMAR
State MN
ZIP 56201
Phone 651 628-9566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JONATHAN C. UECKER

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