24D0398708 CLIA NUMBER - WEST SIDE COMMUNITY HEALTH SERVICES D/B/A MN COMMUNITY CARE

Laboratory Demographics

  • CLIA Code: 24D0398708
  • Facility Name: WEST SIDE COMMUNITY HEALTH SERVICES D/B/A MN COMMUNITY CARE
  • Facility Address: 153 CESAR CHAVEZ
    SAINT PAUL, MN
    ZIP 55107
  • Facility Phone: 651 793-2229
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MUAJ LO
  • NPI Number: 1417312455
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D0398708
LAB Type Federally Qualified Health Center
Facility Name WEST SIDE COMMUNITY HEALTH SERVICES D/B/A MN COMMUNITY CARE
Street 153 CESAR CHAVEZ
City SAINT PAUL
State MN
ZIP 55107
Phone 651 793-2229
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Federally Qualified Health Center
Lab Director MUAJ LO

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