24D0651612 CLIA NUMBER - ST CLOUD HOSPITAL DECENTRALIZED LAB

Laboratory Demographics

  • CLIA Code: 24D0651612
  • Facility Name: ST CLOUD HOSPITAL DECENTRALIZED LAB
  • Facility Address: 1406 SIXTH AVE NORTH
    SAINT CLOUD, MN
    ZIP 56303
  • Facility Phone: 320 255-7891
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: MICHELLE KURT-MANGOLD
  • NPI Number: 1033391099
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0651612
LAB Type Hospital
Facility Name ST CLOUD HOSPITAL DECENTRALIZED LAB
Street 1406 SIXTH AVE NORTH
City SAINT CLOUD
State MN
ZIP 56303
Phone 320 255-7891
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 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director MICHELLE KURT-MANGOLD

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