24D0399281 CLIA NUMBER - ALLINA HEALTH BANDANA SQUARE CLINIC

Laboratory Demographics

  • CLIA Code: 24D0399281
  • Facility Name: ALLINA HEALTH BANDANA SQUARE CLINIC
  • Facility Address: 1021 BANDANA BLVD E
    SAINT PAUL, MN
    ZIP 55108
  • Facility Phone: 651 641-7000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JASON DANIELS
  • NPI Number: 1710593637
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0399281
LAB Type Community Clinic
Facility Name ALLINA HEALTH BANDANA SQUARE CLINIC
Street 1021 BANDANA BLVD E
City SAINT PAUL
State MN
ZIP 55108
Phone 651 641-7000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Community Clinic
Lab Director JASON DANIELS

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