24D2076437 CLIA NUMBER - ALLINA HEALTH BANDANA SQUARE MOHS LAB

Laboratory Demographics

  • CLIA Code: 24D2076437
  • Facility Name: ALLINA HEALTH BANDANA SQUARE MOHS LAB
  • Facility Address: 1021 BANDANA BLVD E STE 100
    SAINT PAUL, MN
    ZIP 55108
  • Facility Phone: 651 241-9700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVIN N. CHRISTENSEN
  • NPI Number: 1023314804
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D2076437
LAB Type Physician Office
Facility Name ALLINA HEALTH BANDANA SQUARE MOHS LAB
Street 1021 BANDANA BLVD E STE 100
City SAINT PAUL
State MN
ZIP 55108
Phone 651 241-9700
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director KEVIN N. CHRISTENSEN

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