RAINY LAKE CLINIC - LITTLEFORK
NPI 1912365529
Non-Pharmacy Dispensing Site in Littlefork, MN
About Rainy Lake Clinic - Littlefork NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAINY LAKE CLINIC - LITTLEFORK (NPI 1912365529) is a healthcare organization registered as a non-pharmacy dispensing site in Littlefork, Minnesota and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Robert Pastor, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Other Names 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0041406
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- February 01, 2026
- Certificate Expiration Date
- January 31, 2028
- Laboratory Director
- KIM USERY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rainy Lake Clinic - Littlefork to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
LITTLEFORK, MN 56653
LITTLEFORK, MN 56653
LITTLEFORK, MN 56653
LITTLEFORK, MN 56653
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912365529, enumerated as an "organization" on February 10, 2016.
The provider is located at 912 MAIN ST LITTLEFORK, MN 56653 and the phone number is (218) 283-7872.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Antidote Health. Please consult your insurance carrier or call the provider to verify.
