CRYSTAL FAMILY CARE CLINIC
NPI 1487362232
Clinic/Center - Primary Care in Princeton, MN

Active since November 10, 2022CLIA 24D2274704 · Waiver
12513 318TH AVE, PRINCETON, MN 55371(715) 832-9467 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 18, 2022, Nov 10, 2022 (2 updates tracked since 2022).

About Crystal Family Care Clinic NPPES

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

CRYSTAL FAMILY CARE CLINIC (NPI 1487362232) is a healthcare organization registered as a primary care in Princeton, Minnesota and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Catherine Guilliams-chan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487362232
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCRYSTAL FAMILY CARE CLINIC
Location Address12513 318TH AVEPrinceton, MN 55371-5800
Mailing Address3300 Birch St Ste 1bEau Claire, WI 54703-2297 · (715) 832-9467
Organization SubpartYesParent: Achieve Wellness, Llc
Authorized OfficialCatherine Guilliams-chanCeo · (715) 832-9467
Enumeration DateNovember 10, 2022
Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
NPI 1487362232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12513 318TH AVE, Princeton, MN 55371

Accepted Insurance

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 24D2274704

Crystal Family Care Clinic · Princeton, MN
Active · expires Jan 9, 2027
CLIA Number24D2274704
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorCatherine L. Guilliams-Chan
Laboratory Phone(715) 832-9467
Laboratory LocationCrystal Family Care Clinic12513 318th Ave NW, Princeton, MN 55371
CLIA data matches this NPI record on: Address 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 Crystal Family Care Clinic's NPI number?

The NPI number for Crystal Family Care Clinic is 1487362232. It was assigned to this organization in the NPPES registry on November 10, 2022.

Where is Crystal Family Care Clinic located?

Crystal Family Care Clinic is located at 12513 318th Ave, Princeton, MN 55371. The listed phone number is (715) 832-9467.

What is Crystal Family Care Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Crystal Family Care Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2274704) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crystal Family Care Clinic accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Crystal Family Care Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Family Care Clinic was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.