24D2023720 CLIA NUMBER - ST CROIX HOSPICE

Laboratory Demographics

  • CLIA Code: 24D2023720
  • Facility Name: ST CROIX HOSPICE
  • Facility Address: 9380 CENTRAL AVENUE NE
    BLAINE, MN
    ZIP 55434
  • Facility Phone: 320 252-2803
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RACHEL SMITH
  • NPI Number: 1629199617
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 24D2023720
LAB Type Hospice
Facility Name ST CROIX HOSPICE
Street 9380 CENTRAL AVENUE NE
City BLAINE
State MN
ZIP 55434
Phone 320 252-2803
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: 9/29/2025