24D2173752 CLIA NUMBER - ST CROIX HOSPICE-GRAND RAPIDS

Laboratory Demographics

  • CLIA Code: 24D2173752
  • Facility Name: ST CROIX HOSPICE-GRAND RAPIDS
  • Facility Address: 1001 S POKEGAMA AVE STE D
    GRAND RPDS, MN
    ZIP 55744
  • Facility Phone: 218 212-7915
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LYNAE BEDNAR
  • NPI Number: 1770142762
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2173752
LAB Type Hospice
Facility Name ST CROIX HOSPICE-GRAND RAPIDS
Street 1001 S POKEGAMA AVE STE D
City GRAND RPDS
State MN
ZIP 55744
Phone 218 212-7915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Hospice
Lab Director LYNAE BEDNAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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