24D2137297 CLIA NUMBER - SANCTUARY AT ST CLOUD, LP, THE

Laboratory Demographics

  • CLIA Code: 24D2137297
  • Facility Name: SANCTUARY AT ST CLOUD, LP, THE
  • Facility Address: 2410 20TH AVE SE
    SAINT CLOUD, MN
    ZIP 56304
  • Facility Phone: 320 252-6325
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BETH A. KERN
  • NPI Number: 1285140251
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2137297
LAB Type Assisted Living Facility
Facility Name SANCTUARY AT ST CLOUD, LP, THE
Street 2410 20TH AVE SE
City SAINT CLOUD
State MN
ZIP 56304
Phone 320 252-6325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Assisted Living Facility
Lab Director BETH A. KERN

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