24D2295076 CLIA NUMBER - ST CROIX HOSPICE-MINNETONKA

Laboratory Demographics

  • CLIA Code: 24D2295076
  • Facility Name: ST CROIX HOSPICE-MINNETONKA
  • Facility Address: 13911 RIDGEDALE DR SUITE # 190
    MINNETONKA, MN
    ZIP 55305
  • Facility Phone: 952 746-9649
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATHLEEN M. FRITCHE
  • NPI Number: 1699558379
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2295076
LAB Type Hospice
Facility Name ST CROIX HOSPICE-MINNETONKA
Street 13911 RIDGEDALE DR SUITE # 190
City MINNETONKA
State MN
ZIP 55305
Phone 952 746-9649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Hospice
Lab Director KATHLEEN M. FRITCHE

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