24D2244363 CLIA NUMBER - WATERSHED HIGH SCHOOL

Laboratory Demographics

  • CLIA Code: 24D2244363
  • Facility Name: WATERSHED HIGH SCHOOL
  • Facility Address: 6541 16TH AVE S
    RICHFIELD, MN
    ZIP 55423
  • Facility Phone: 612 871-4363
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DESTINY D. SPARKS
  • NPI Number: 1154711216
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2244363
LAB Type School/Student Health Service
Facility Name WATERSHED HIGH SCHOOL
Street 6541 16TH AVE S
City RICHFIELD
State MN
ZIP 55423
Phone 612 871-4363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type School/Student Health Service
Lab Director DESTINY D. SPARKS

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