KINGDOM PATHWAYS
NPI 1043848112
Clinical Medical Laboratory in Saint Paul, MN

Active since April 01, 2020CLIA 24D2093889 · Certificate of Compliance
426 OXFORD ST N, SAINT PAUL, MN 55104(651) 917-3227 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kingdom Pathways NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGDOM PATHWAYS (NPI 1043848112) is a healthcare organization registered as a clinical medical laboratory in Saint Paul, Minnesota and active in the NPI registry since April 2020. The organization holds a CLIA Certificate of Compliance certificate valid through June 28, 2027 and lists James Michaud, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043848112
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameKINGDOM PATHWAYS
Location Address426 OXFORD ST NSaint Paul, MN 55104-5080
Mailing Address11825 Bittersweet St NwCoon Rapids, MN 55433-2917 · (651) 387-8393
Organization SubpartNo
Authorized OfficialJames MichaudExecutive Director · (651) 387-8393
Enumeration DateApril 1, 2020
NPPES CertifiedApril 1, 2020
NPI 1043848112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
426 OXFORD ST N, Saint Paul, MN 55104

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D2093889

Kingdom Pathways · Saint Paul, MN
Active · expires Jun 28, 2027
CLIA Number24D2093889
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorKim M. Bjerke
Laboratory Phone(651) 917-3227
Laboratory LocationKingdom Pathways426 Oxford Street, Saint Paul, MN 55104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingdom Pathways's NPI number?

The NPI number for Kingdom Pathways is 1043848112. It was assigned to this organization in the NPPES registry on April 1, 2020.

Where is Kingdom Pathways located?

Kingdom Pathways is located at 426 Oxford St N, Saint Paul, MN 55104. The listed phone number is (651) 917-3227.

What is Kingdom Pathways's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Kingdom Pathways hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D2093889) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kingdom Pathways was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.