24D2082801 CLIA NUMBER - GILLETTE CHILDREN'S SPECIALTY HEALTHCARE

Home > CLIA Lookup > 24D2082801

Laboratory Demographics

CLIA Number: 24D2082801

Facility Name: GILLETTE CHILDREN'S SPECIALTY HEALTHCARE

Facility Address:
200 UNIVERSITY AVE EAST 4TH FLOOR, 7200 CIRCLE
SAINT PAUL, MN
ZIP 55101
Get Directions

Facility Phone Number: 651 229-1745

Facility Type: Other - CLINICAL RESEARCH PROCESS

Certificate Type: Waiver

NPI Number: 1588050280

Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

CLIA Record

Field Name	Field Value
CLIA Number	24D2082801
LAB Type	Other - CLINICAL RESEARCH PROCESS
Facility Name	GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Street	200 UNIVERSITY AVE EAST 4TH FLOOR, 7200 CIRCLE
City	SAINT PAUL
State	MN
ZIP	55101
Phone	651 229-1745
CertificateType	4
CertificateEffectiveDate	8/21/2022
CertificateExpirationDate	8/20/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024