24D0860397 CLIA NUMBER - SAINT PAUL PUBLIC SCHOOLS ISD #625

Laboratory Demographics

  • CLIA Code: 24D0860397
  • Facility Name: SAINT PAUL PUBLIC SCHOOLS ISD #625
  • Facility Address: 360 COLBORNE ST, HEALTH & WELLNESS
    SAINT PAUL, MN
    ZIP 55102
  • Facility Phone: 651 767-8385
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MARY L. LANGWORTHY
  • NPI Number: 1184114803
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 24D0860397
LAB Type School/Student Health Service
Facility Name SAINT PAUL PUBLIC SCHOOLS ISD #625
Street 360 COLBORNE ST, HEALTH & WELLNESS
City SAINT PAUL
State MN
ZIP 55102
Phone 651 767-8385
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 School/Student Health Service
Lab Director MARY L. LANGWORTHY

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