24D2120648 CLIA NUMBER - ST CROIX DERMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 24D2120648
  • Facility Name: ST CROIX DERMATOLOGY PA
  • Facility Address: 1950 CURVE CREST BLVD WEST
    STILLWATER, MN
    ZIP 55082
  • Facility Phone: (651) 275-0500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE K. MARKUS
  • NPI Number: 1215008362
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2120648
LAB Type Physician Office
Facility Name ST CROIX DERMATOLOGY PA
Street 1950 CURVE CREST BLVD WEST
City STILLWATER
State MN
ZIP 55082
Phone 6512750500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director CHRISTINE K. MARKUS

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This page was last updated on: 5/18/2026