24D2278674 CLIA NUMBER - COMPASSIONATE QUALITY PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 24D2278674
  • Facility Name: COMPASSIONATE QUALITY PSYCHIATRY
  • Facility Address: 4135 RICHARD AVENUE, SUITE 201
    HERMANTOWN, MN
    ZIP 55811
  • Facility Phone: (612) 429-1011
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NADINE HOVEN
  • NPI Number: 1932852860
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2278674
LAB Type Community Clinic
Facility Name COMPASSIONATE QUALITY PSYCHIATRY
Street 4135 RICHARD AVENUE, SUITE 201
City HERMANTOWN
State MN
ZIP 55811
Phone 6124291011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Community Clinic
Lab Director NADINE HOVEN

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This page was last updated on: 5/15/2026