24D2030778 CLIA NUMBER - SAINT THERESE AT ST ODILIA

Laboratory Demographics

  • CLIA Code: 24D2030778
  • Facility Name: SAINT THERESE AT ST ODILIA
  • Facility Address: 3500 VIVIAN AVENUE
    SHOREVIEW, MN
    ZIP 55126
  • Facility Phone: (651) 842-6780
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NOLAY FREEMAN

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2030778
LAB Type Home Health Agency
Facility Name SAINT THERESE AT ST ODILIA
Street 3500 VIVIAN AVENUE
City SHOREVIEW
State MN
ZIP 55126
Phone 6518426780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Home Health Agency
Lab Director NOLAY FREEMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026