24D2001350 CLIA NUMBER - ST CROIX PSYCHIATRIC

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CLIA Record

Field Name Field Value
CLIA Number 24D2001350
LAB Type Physician Office
Facility Name ST CROIX PSYCHIATRIC
Street 659 BIELENBERG DR
City WOODBURY
State MN
ZIP 55125
Phone 651 259-9710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director DR. CHRISTOPHER WALL

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