24D0671208 CLIA NUMBER - GUSTAVUS ADOLPHUS COLLEGE HEALTH SERVICE

Laboratory Demographics

  • CLIA Code: 24D0671208
  • Facility Name: GUSTAVUS ADOLPHUS COLLEGE HEALTH SERVICE
  • Facility Address: 800 WEST COLLEGE AVE
    ST PETER, MN
    ZIP 56082
  • Facility Phone: 507 933-7630
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: HEATHER A. DALE
  • NPI Number: 1508911330
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 24D0671208
LAB Type School/Student Health Service
Facility Name GUSTAVUS ADOLPHUS COLLEGE HEALTH SERVICE
Street 800 WEST COLLEGE AVE
City ST PETER
State MN
ZIP 56082
Phone 507 933-7630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type School/Student Health Service
Lab Director HEATHER A. DALE

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