24D2324071 CLIA NUMBER - NORTHERN PINES WELLNESS, PLLC DBA NORTHERN PINES WELLNESS

Laboratory Demographics

  • CLIA Code: 24D2324071
  • Facility Name: NORTHERN PINES WELLNESS, PLLC DBA NORTHERN PINES WELLNESS
  • Facility Address: 141 2ND AVENUE SW-SUITE 2
    CAMBRIDGE, MN
    ZIP 55008
  • Facility Phone: 763 298-3900
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KELSEY K. ABRAHAM
  • NPI Number: 1285436931
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2324071
LAB Type Practitioner Other
Facility Name NORTHERN PINES WELLNESS, PLLC DBA NORTHERN PINES WELLNESS
Street 141 2ND AVENUE SW-SUITE 2
City CAMBRIDGE
State MN
ZIP 55008
Phone 763 298-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Practitioner Other
Lab Director KELSEY K. ABRAHAM

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