24D2120738 CLIA NUMBER - SPECIALIZED TREATMENT SERVICES/BP

Laboratory Demographics

  • CLIA Code: 24D2120738
  • Facility Name: SPECIALIZED TREATMENT SERVICES/BP
  • Facility Address: 7472 LAKELAND AVE NORTH
    BROOKLYN PARK, MN
    ZIP 55428
  • Facility Phone: 612 236-1702
  • Facility Type: Other - OUTPATIENT CHEMICAL DEPEN
  • Facility Type: Waiver
  • Lab Director: CARRIE M. MCGREGOR
  • NPI Number: 1871872796
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2120738
LAB Type Other - OUTPATIENT CHEMICAL DEPEN
Facility Name SPECIALIZED TREATMENT SERVICES/BP
Street 7472 LAKELAND AVE NORTH
City BROOKLYN PARK
State MN
ZIP 55428
Phone 612 236-1702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Other - OUTPATIENT CHEMICAL DEPEN
Lab Director CARRIE M. MCGREGOR

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