24D0667911 CLIA NUMBER - ST CATHERINE UNIVERSITY HEALTH & WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 24D0667911
  • Facility Name: ST CATHERINE UNIVERSITY HEALTH & WELLNESS CLINIC
  • Facility Address: 2004 RANDOLPH AVE BUTLER CENTER
    SAINT PAUL, MN
    ZIP 55105
  • Facility Phone: 651 690-6714
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: LAUREN PETERSON
  • NPI Number: 1891016481
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 24D0667911
LAB Type School/Student Health Service
Facility Name ST CATHERINE UNIVERSITY HEALTH & WELLNESS CLINIC
Street 2004 RANDOLPH AVE BUTLER CENTER
City SAINT PAUL
State MN
ZIP 55105
Phone 651 690-6714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type School/Student Health Service
Lab Director LAUREN PETERSON

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