24D0668604 CLIA NUMBER - HEALTHPARTNERS WHITE BEAR LAKE LAB

Laboratory Demographics

  • CLIA Code: 24D0668604
  • Facility Name: HEALTHPARTNERS WHITE BEAR LAKE LAB
  • Facility Address: 1430 HIGHWAY 96
    WHITE BEAR LAKE, MN
    ZIP 55110
  • Facility Phone: 651 653-2136
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. ZENA M. KHALIL
  • NPI Number: 1669532503
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D0668604
LAB Type Health Main. Organization
Facility Name HEALTHPARTNERS WHITE BEAR LAKE LAB
Street 1430 HIGHWAY 96
City WHITE BEAR LAKE
State MN
ZIP 55110
Phone 651 653-2136
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. ZENA M. KHALIL

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