24D0668596 CLIA NUMBER - HEALTHPARTNERS MAPLEWOOD CLINIC LAB

Laboratory Demographics

  • CLIA Code: 24D0668596
  • Facility Name: HEALTHPARTNERS MAPLEWOOD CLINIC LAB
  • Facility Address: 2165 WHITE BEAR AVENUE
    MAPLEWOOD, MN
    ZIP 55109
  • Facility Phone: 651 523-9840
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. SARAH E. HENRY
  • NPI Number: 1932147683
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D0668596
LAB Type Health Main. Organization
Facility Name HEALTHPARTNERS MAPLEWOOD CLINIC LAB
Street 2165 WHITE BEAR AVENUE
City MAPLEWOOD
State MN
ZIP 55109
Phone 651 523-9840
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Health Main. Organization
Lab Director DR. SARAH E. HENRY

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