24D2016501 CLIA NUMBER - HENNEPIN HEALTHCARE COMMUNITY LABORATORIES HENNEPIN HEALTHCARE ST. ANTHONY VILLAGE CLINIC

Laboratory Demographics

  • CLIA Code: 24D2016501
  • Facility Name: HENNEPIN HEALTHCARE COMMUNITY LABORATORIES HENNEPIN HEALTHCARE ST. ANTHONY VILLAGE CLINIC
  • Facility Address: 2714 COUNTY RD 88
    ST ANTHONY, MN
    ZIP 55418
  • Facility Phone: 612 873-3001
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: SARAH M. DRAWZ
  • NPI Number: 1487125597
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2016501
LAB Type Community Clinic
Facility Name HENNEPIN HEALTHCARE COMMUNITY LABORATORIES HENNEPIN HEALTHCARE ST. ANTHONY VILLAGE CLINIC
Street 2714 COUNTY RD 88
City ST ANTHONY
State MN
ZIP 55418
Phone 612 873-3001
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Community Clinic
Lab Director SARAH M. DRAWZ

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