24D0399476 CLIA NUMBER - BENEDICTINE HEALTH CENTER AT INNSBRUCK

Laboratory Demographics

  • CLIA Code: 24D0399476
  • Facility Name: BENEDICTINE HEALTH CENTER AT INNSBRUCK
  • Facility Address: 1101 BLACK OAK DRIVE
    NEW BRIGHTON, MN
    ZIP 55112
  • Facility Phone: 651 633-1686
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN MIELKE
  • NPI Number: 1336135524
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0399476
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BENEDICTINE HEALTH CENTER AT INNSBRUCK
Street 1101 BLACK OAK DRIVE
City NEW BRIGHTON
State MN
ZIP 55112
Phone 651 633-1686
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 JOHN MIELKE

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