24D2303268 CLIA NUMBER - EMERALD WINGS HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 24D2303268
  • Facility Name: EMERALD WINGS HOSPICE LLC
  • Facility Address: 889 GRAND AVE # 201
    SAINT PAUL, MN
    ZIP 55105
  • Facility Phone: 763 269-9906
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BROOKE EKLAND
  • NPI Number: 1194597005
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2303268
LAB Type Hospice
Facility Name EMERALD WINGS HOSPICE LLC
Street 889 GRAND AVE # 201
City SAINT PAUL
State MN
ZIP 55105
Phone 763 269-9906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Hospice
Lab Director BROOKE EKLAND

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