24D1018846 CLIA NUMBER - WASHINGTON COUNTY DEPT OF PUBLIC HEALTH & ENVIRONMENT

Laboratory Demographics

  • CLIA Code: 24D1018846
  • Facility Name: WASHINGTON COUNTY DEPT OF PUBLIC HEALTH & ENVIRONMENT
  • Facility Address: 14949 62ND STREET N ROOM 429
    STILLWATER, MN
    ZIP 55082
  • Facility Phone: 651 430-6655
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAVID BRUMMEL
  • NPI Number: 1669554408
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 24D1018846
LAB Type Practitioner Other
Facility Name WASHINGTON COUNTY DEPT OF PUBLIC HEALTH & ENVIRONMENT
Street 14949 62ND STREET N ROOM 429
City STILLWATER
State MN
ZIP 55082
Phone 651 430-6655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Practitioner Other
Lab Director DAVID BRUMMEL

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