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TRI-VALLEY OPPORTUNITY COUNCIL
NPI 1104098672
Public Health or Welfare in Crookston, MN

Active since March 25, 2008CLIA 24D0893639 · Waiver
102 N BROADWAY, CROOKSTON, MN 56716(218) 281-5832(218) 281-6676 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri-valley Opportunity Council NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-VALLEY OPPORTUNITY COUNCIL (NPI 1104098672) is a healthcare organization registered as a public health or welfare in Crookston, Minnesota and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Cynthia E Boudreaux, Health Services Manager, as its authorized official.

NPPES Registry Identity

NPI1104098672
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameTRI-VALLEY OPPORTUNITY COUNCIL
Location Address102 N BROADWAYCrookston, MN 56716-1731
Mailing AddressPo Box 607Crookston, MN 56716-0607 · (218) 281-5832 · Fax (218) 281-6676
Phone(218) 281-5832
Fax(218) 281-6676
Organization SubpartNo
Authorized OfficialCynthia E BoudreauxHealth Services Manager · (218) 281-5832
Enumeration DateMarch 25, 2008
✔ NPI 1104098672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License✔ Licensed in MN · R137745-7
102 N BROADWAY, Crookston, MN 56716
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0893639

Tri-Valley Opportunity Council Inc · Crookston, MN
Active · expires Oct 25, 2026
CLIA Number24D0893639
Laboratory TypeOther
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorMelody Hedden
Laboratory Phone(218) 281-5832
Laboratory LocationTri-Valley Opportunity Council Inc107 North Broadway Suite 200, Crookston, MN 56716
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-Valley Opportunity Council's NPI number?

The NPI number for Tri-Valley Opportunity Council is 1104098672. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Tri-Valley Opportunity Council located?

Tri-Valley Opportunity Council is located at 102 N Broadway, Crookston, MN 56716. The listed phone number is (218) 281-5832.

What is Tri-Valley Opportunity Council's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Tri-Valley Opportunity Council hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0893639) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri-Valley Opportunity Council was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.