52D2309582 CLIA NUMBER - ALLINA HEALTH SPECIALTY CLINIC RIVER FALLS

Laboratory Demographics

  • CLIA Code: 52D2309582
  • Facility Name: ALLINA HEALTH SPECIALTY CLINIC RIVER FALLS
  • Facility Address: 1687 E DIVISION STREET
    RIVER FALLS, WI
    ZIP 54022
  • Facility Phone: 715 307-6333
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. LAWRENCE J. BURGART
  • NPI Number: 1699165050
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2309582
LAB Type Community Clinic
Facility Name ALLINA HEALTH SPECIALTY CLINIC RIVER FALLS
Street 1687 E DIVISION STREET
City RIVER FALLS
State WI
ZIP 54022
Phone 715 307-6333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Community Clinic
Lab Director DR. LAWRENCE J. BURGART

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