24D2330380 CLIA NUMBER - AGAPE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 24D2330380
  • Facility Name: AGAPE HOSPICE INC
  • Facility Address: 5960 HWY 61N, BUILDING 2, SUITE 204
    WHITE BEAR LAKE, MN
    ZIP 55110
  • Facility Phone: 612 386-0246
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STEPHANIE PISARSKI
  • NPI Number: 1528861341
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2330380
LAB Type Hospice
Facility Name AGAPE HOSPICE INC
Street 5960 HWY 61N, BUILDING 2, SUITE 204
City WHITE BEAR LAKE
State MN
ZIP 55110
Phone 612 386-0246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Hospice
Lab Director STEPHANIE PISARSKI

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