24D2208943 CLIA NUMBER - ALLINA HEALTH UNITED FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 24D2208943
  • Facility Name: ALLINA HEALTH UNITED FAMILY PHYSICIANS
  • Facility Address: 233 GRAND AVE
    SAINT PAUL, MN
    ZIP 55102
  • Facility Phone: 651 241-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER N. STALL
  • NPI Number: 1346842051
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D2208943
LAB Type Physician Office
Facility Name ALLINA HEALTH UNITED FAMILY PHYSICIANS
Street 233 GRAND AVE
City SAINT PAUL
State MN
ZIP 55102
Phone 651 241-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director JENNIFER N. STALL

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