24D0956208 CLIA NUMBER - ST PAUL CORNER DRUG

Laboratory Demographics

  • CLIA Code: 24D0956208
  • Facility Name: ST PAUL CORNER DRUG
  • Facility Address: 240 SNELLING AVENUE SOUTH
    SAINT PAUL, MN
    ZIP 55105
  • Facility Phone: 651 698-8859
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN V. HOESCHEN
  • NPI Number: 1184736183
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D0956208
LAB Type Pharmacy
Facility Name ST PAUL CORNER DRUG
Street 240 SNELLING AVENUE SOUTH
City SAINT PAUL
State MN
ZIP 55105
Phone 651 698-8859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Pharmacy
Lab Director JOHN V. HOESCHEN

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