24D0957763 CLIA NUMBER - ST CLOUD HOSPITAL OUTPATIENT/HEALTH PLAZA

Laboratory Demographics

  • CLIA Code: 24D0957763
  • Facility Name: ST CLOUD HOSPITAL OUTPATIENT/HEALTH PLAZA
  • Facility Address: 1900 CENTRACARE CIRCLE
    SAINT CLOUD, MN
    ZIP 56303
  • Facility Phone: 320 251-2700
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DOROTHY LINDQUIST
  • NPI Number: 1578128021
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D0957763
LAB Type Other
Facility Name ST CLOUD HOSPITAL OUTPATIENT/HEALTH PLAZA
Street 1900 CENTRACARE CIRCLE
City SAINT CLOUD
State MN
ZIP 56303
Phone 320 251-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Other
Lab Director DOROTHY LINDQUIST

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