24D2287398 CLIA NUMBER - ST CROIX HOSPICE-ST CLOUD

Laboratory Demographics

  • CLIA Code: 24D2287398
  • Facility Name: ST CROIX HOSPICE-ST CLOUD
  • Facility Address: 3315 ROOSEVELT RD, STE 400
    SAINT CLOUD, MN
    ZIP 56301
  • Facility Phone: 320 201-5930
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LYNAE BEDNAR
  • NPI Number: 1689368144
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2287398
LAB Type Hospice
Facility Name ST CROIX HOSPICE-ST CLOUD
Street 3315 ROOSEVELT RD, STE 400
City SAINT CLOUD
State MN
ZIP 56301
Phone 320 201-5930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Hospice
Lab Director LYNAE BEDNAR

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