24D2069387 CLIA NUMBER - DUNGARVIN MINNESOTA LLC - BALBRIGGEN

Laboratory Demographics

  • CLIA Code: 24D2069387
  • Facility Name: DUNGARVIN MINNESOTA LLC - BALBRIGGEN
  • Facility Address: 1270 LARPENTEUR AVENUE
    SAINT PAUL, MN
    ZIP 55109
  • Facility Phone: 651 699-6050
  • Facility Type: Other - SUPERVISED LVG FACILITY
  • Facility Type: Waiver
  • Lab Director: NATALIE L. GRAF
  • NPI Number: 1235122003
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2069387
LAB Type Other - SUPERVISED LVG FACILITY
Facility Name DUNGARVIN MINNESOTA LLC - BALBRIGGEN
Street 1270 LARPENTEUR AVENUE
City SAINT PAUL
State MN
ZIP 55109
Phone 651 699-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Other - SUPERVISED LVG FACILITY
Lab Director NATALIE L. GRAF

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