24D0399748 CLIA NUMBER - ALLINA HEALTH WEST ST PAUL

Laboratory Demographics

  • CLIA Code: 24D0399748
  • Facility Name: ALLINA HEALTH WEST ST PAUL
  • Facility Address: 150 EAST EMERSON AVENUE
    WEST SAINT PAUL, MN
    ZIP 55118
  • Facility Phone: (651) 241-1800
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JENA C. MARTIN
  • NPI Number: 1144526898
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0399748
LAB Type Community Clinic
Facility Name ALLINA HEALTH WEST ST PAUL
Street 150 EAST EMERSON AVENUE
City WEST SAINT PAUL
State MN
ZIP 55118
Phone 6512411800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Community Clinic
Lab Director JENA C. MARTIN

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This page was last updated on: 5/18/2026