24D0399412 CLIA NUMBER - AALFA FAMILY PRACTICE, PA

Laboratory Demographics

  • CLIA Code: 24D0399412
  • Facility Name: AALFA FAMILY PRACTICE, PA
  • Facility Address: 4465 WHITE BEAR PARKWAY SUITE 1
    WHITE BEAR LAKE, MN
    ZIP 55110
  • Facility Phone: 651 653-0062
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL J. SPENCER
  • NPI Number: 1437150877
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0399412
LAB Type Physician Office
Facility Name AALFA FAMILY PRACTICE, PA
Street 4465 WHITE BEAR PARKWAY SUITE 1
City WHITE BEAR LAKE
State MN
ZIP 55110
Phone 651 653-0062
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director PAUL J. SPENCER

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