24D2309304 CLIA NUMBER - HEALTHPARTNERS ST PAUL CLINIC OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 24D2309304
  • Facility Name: HEALTHPARTNERS ST PAUL CLINIC OCCUPATIONAL MEDICINE
  • Facility Address: 205 WABASHA ST S
    SAINT PAUL, MN
    ZIP 55107
  • Facility Phone: 952 541-2656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. HANSEN
  • NPI Number: 1992866800
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D2309304
LAB Type Physician Office
Facility Name HEALTHPARTNERS ST PAUL CLINIC OCCUPATIONAL MEDICINE
Street 205 WABASHA ST S
City SAINT PAUL
State MN
ZIP 55107
Phone 952 541-2656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director JENNIFER A. HANSEN

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