24D2228059 CLIA NUMBER - ST CROIX HOSPICE - MAPLE GROVE

Laboratory Demographics

  • CLIA Code: 24D2228059
  • Facility Name: ST CROIX HOSPICE - MAPLE GROVE
  • Facility Address: 7835 MAIN STREET STE 210
    MAPLE GROVE, MN
    ZIP 55369
  • Facility Phone: 763 244-2274
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RACHEL SMITH
  • NPI Number: 1376127548
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2228059
LAB Type Hospice
Facility Name ST CROIX HOSPICE - MAPLE GROVE
Street 7835 MAIN STREET STE 210
City MAPLE GROVE
State MN
ZIP 55369
Phone 763 244-2274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Hospice
Lab Director RACHEL SMITH

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This page was last updated on: 6/4/2025