24D2072448 CLIA NUMBER - SUMMIT RECOVERY SUITES

Laboratory Demographics

  • CLIA Code: 24D2072448
  • Facility Name: SUMMIT RECOVERY SUITES
  • Facility Address: 3580 ARCADE STREET SUITE 250
    VADNAIS HEIGHTS, MN
    ZIP 55127
  • Facility Phone: 651 968-5771
  • Facility Type: Other - RECOVERY SUITES
  • Facility Type: Waiver
  • Lab Director: BECKIE L. HINES
  • NPI Number: 1790108140
  • Taxonomy: 261QR0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2072448
LAB Type Other - RECOVERY SUITES
Facility Name SUMMIT RECOVERY SUITES
Street 3580 ARCADE STREET SUITE 250
City VADNAIS HEIGHTS
State MN
ZIP 55127
Phone 651 968-5771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Other - RECOVERY SUITES
Lab Director BECKIE L. HINES

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