24D0881240 CLIA NUMBER - BLOOMINGTON PUBLIC SCHOOLS

Laboratory Demographics

CLIA Number: 24D0881240

Facility Name: BLOOMINGTON PUBLIC SCHOOLS

Facility Address:
1350 WEST 106TH STREET
BLOOMINGTON, MN
ZIP 55431
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Facility Phone Number: 952 681-6506

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1215090501

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D0881240
LAB Type	School/Student Health Service
Facility Name	BLOOMINGTON PUBLIC SCHOOLS
Street	1350 WEST 106TH STREET
City	BLOOMINGTON
State	MN
ZIP	55431
Phone	952 681-6506
CertificateType	4
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024