24D0859336 CLIA NUMBER - CENTRACARE HOME HEALTH ST CLOUD HOSPITAL

Laboratory Demographics

  • CLIA Code: 24D0859336
  • Facility Name: CENTRACARE HOME HEALTH ST CLOUD HOSPITAL
  • Facility Address: 110 2ND STREET SOUTH
    WAITE PARK, MN
    ZIP 56387
  • Facility Phone: 320 259-9375
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KRISTEN HUSEN
  • NPI Number: 1952350605
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D0859336
LAB Type Hospice
Facility Name CENTRACARE HOME HEALTH ST CLOUD HOSPITAL
Street 110 2ND STREET SOUTH
City WAITE PARK
State MN
ZIP 56387
Phone 320 259-9375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Hospice
Lab Director KRISTEN HUSEN

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