24D0724410 CLIA NUMBER - LIFELINK III

Laboratory Demographics

  • CLIA Code: 24D0724410
  • Facility Name: LIFELINK III
  • Facility Address: 4188 LEXINGTON AVE N
    SAINT PAUL, MN
    ZIP 55126
  • Facility Phone: 612 638-4909
  • Facility Type: Mobile Laboratory
  • Facility Type: Certificate of Compliance
  • Lab Director: MARGRET D. OETHINGER
  • NPI Number: 1518964337
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 24D0724410
LAB Type Mobile Laboratory
Facility Name LIFELINK III
Street 4188 LEXINGTON AVE N
City SAINT PAUL
State MN
ZIP 55126
Phone 612 638-4909
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Mobile Laboratory
Lab Director MARGRET D. OETHINGER

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