24D2023711 CLIA NUMBER - ST CROIX HOSPICE NORTH BRANCH

Laboratory Demographics

  • CLIA Code: 24D2023711
  • Facility Name: ST CROIX HOSPICE NORTH BRANCH
  • Facility Address: 6041 MAIN STREET SUITE G
    NORTH BRANCH, MN
    ZIP 55056
  • Facility Phone: 763 689-3735
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RACHEL SMITH
  • NPI Number: 1235601121
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2023711
LAB Type Hospice
Facility Name ST CROIX HOSPICE NORTH BRANCH
Street 6041 MAIN STREET SUITE G
City NORTH BRANCH
State MN
ZIP 55056
Phone 763 689-3735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Hospice
Lab Director RACHEL SMITH

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This page was last updated on: 6/4/2025