24D2230626 CLIA NUMBER - BENEDICT COURT

Laboratory Demographics

  • CLIA Code: 24D2230626
  • Facility Name: BENEDICT COURT
  • Facility Address: 1980 15TH AVE SE
    SAINT CLOUD, MN
    ZIP 56304
  • Facility Phone: 320 252-0010
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMI HALEY
  • NPI Number: 1831417559
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2230626
LAB Type Assisted Living Facility
Facility Name BENEDICT COURT
Street 1980 15TH AVE SE
City SAINT CLOUD
State MN
ZIP 56304
Phone 320 252-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Assisted Living Facility
Lab Director TAMI HALEY

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