24D2025190 CLIA NUMBER - SPECIALIZED TREATMENT SVC INC/CENTRAL

Laboratory Demographics

  • CLIA Code: 24D2025190
  • Facility Name: SPECIALIZED TREATMENT SVC INC/CENTRAL
  • Facility Address: 1132 CENTRAL AVENUE NORTHEAST
    MINNEAPOLIS, MN
    ZIP 55413
  • Facility Phone: 612 236-1700
  • Facility Type: Other - OUTPATIENT TREATMENT CHEM
  • Facility Type: Waiver
  • Lab Director: CARRIE M. MCGREGOR
  • NPI Number: 1982831533
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2025190
LAB Type Other - OUTPATIENT TREATMENT CHEM
Facility Name SPECIALIZED TREATMENT SVC INC/CENTRAL
Street 1132 CENTRAL AVENUE NORTHEAST
City MINNEAPOLIS
State MN
ZIP 55413
Phone 612 236-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Other - OUTPATIENT TREATMENT CHEM
Lab Director CARRIE M. MCGREGOR

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