24D0872897 CLIA NUMBER - CAPITOL VIEW TRANSITIONAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0872897
  • Facility Name: CAPITOL VIEW TRANSITIONAL CARE CENTER
  • Facility Address: 640 JACKSON STREET
    SAINT PAUL, MN
    ZIP 55101
  • Facility Phone: 651 254-0400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRACY DURANT
  • NPI Number: 1881672509
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0872897
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CAPITOL VIEW TRANSITIONAL CARE CENTER
Street 640 JACKSON STREET
City SAINT PAUL
State MN
ZIP 55101
Phone 651 254-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TRACY DURANT

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