24D2245527 CLIA NUMBER - WEDUM LEXINGTON, LLC

Laboratory Demographics

  • CLIA Code: 24D2245527
  • Facility Name: WEDUM LEXINGTON, LLC
  • Facility Address: 900 OLD LEXINGTON AVENUE
    SAINT PAUL, MN
    ZIP 55116
  • Facility Phone: 651 695-6400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GINA GOLDSMITH
  • NPI Number: 1043084973
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2245527
LAB Type Assisted Living Facility
Facility Name WEDUM LEXINGTON, LLC
Street 900 OLD LEXINGTON AVENUE
City SAINT PAUL
State MN
ZIP 55116
Phone 651 695-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Assisted Living Facility
Lab Director GINA GOLDSMITH

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