24D2245863 CLIA NUMBER - ACADEMIA CESAR CHAVEZ CHARTER SCHOOL

Laboratory Demographics

  • CLIA Code: 24D2245863
  • Facility Name: ACADEMIA CESAR CHAVEZ CHARTER SCHOOL
  • Facility Address: 1801 LACROSSE AVE
    SAINT PAUL, MN
    ZIP 55119
  • Facility Phone: 651 280-6186
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: YESENIA BAZAN
  • NPI Number: 1720490113
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2245863
LAB Type School/Student Health Service
Facility Name ACADEMIA CESAR CHAVEZ CHARTER SCHOOL
Street 1801 LACROSSE AVE
City SAINT PAUL
State MN
ZIP 55119
Phone 651 280-6186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type School/Student Health Service
Lab Director YESENIA BAZAN

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