24D2309311 CLIA NUMBER - HEALTHPARTNERS ST LOUIS PARK - WEST END OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 24D2309311
  • Facility Name: HEALTHPARTNERS ST LOUIS PARK - WEST END OCCUPATIONAL MEDICINE
  • Facility Address: 1665 UTICA AVENUE
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Facility Phone: 952 541-2656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER HANSEN
  • NPI Number: 1699272427
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 24D2309311
LAB Type Physician Office
Facility Name HEALTHPARTNERS ST LOUIS PARK - WEST END OCCUPATIONAL MEDICINE
Street 1665 UTICA AVENUE
City SAINT LOUIS PARK
State MN
ZIP 55416
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 HANSEN

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