24D2093889 CLIA NUMBER - KINGDOM PATHWAYS

Laboratory Demographics

  • CLIA Code: 24D2093889
  • Facility Name: KINGDOM PATHWAYS
  • Facility Address: 426 OXFORD STREET
    SAINT PAUL, MN
    ZIP 55104
  • Facility Phone: 651 917-3227
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Certificate of Compliance
  • Lab Director: KIM M. BJERKE
  • NPI Number: 1043848112
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 24D2093889
LAB Type Comp. Outpatient Rehab Facility
Facility Name KINGDOM PATHWAYS
Street 426 OXFORD STREET
City SAINT PAUL
State MN
ZIP 55104
Phone 651 917-3227
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 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director KIM M. BJERKE

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