24D0399290 CLIA NUMBER - LYNGBLOMSTEN CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0399290
  • Facility Name: LYNGBLOMSTEN CARE CENTER
  • Facility Address: 1415 ALMOND AVE
    SAINT PAUL, MN
    ZIP 55108
  • Facility Phone: 651 646-2941
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID GORMAN
  • NPI Number: 1821189275
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D0399290
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LYNGBLOMSTEN CARE CENTER
Street 1415 ALMOND AVE
City SAINT PAUL
State MN
ZIP 55108
Phone 651 646-2941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAVID GORMAN

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