24D0398097 CLIA NUMBER - NORTH SUBURBAN FAMILY PHYSICIANS-LINO LAKES

Laboratory Demographics

  • CLIA Code: 24D0398097
  • Facility Name: NORTH SUBURBAN FAMILY PHYSICIANS-LINO LAKES
  • Facility Address: 576 APOLLO DRIVE
    LINO LAKES, MN
    ZIP 55014
  • Facility Phone: 651 486-2320
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. KATHLEEN D. SIECHEN
  • NPI Number: 1760542237
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D0398097
LAB Type Physician Office
Facility Name NORTH SUBURBAN FAMILY PHYSICIANS-LINO LAKES
Street 576 APOLLO DRIVE
City LINO LAKES
State MN
ZIP 55014
Phone 651 486-2320
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. KATHLEEN D. SIECHEN

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