24D0400859 CLIA NUMBER - LAKEVIEW CLINIC LTD

Laboratory Demographics

  • CLIA Code: 24D0400859
  • Facility Name: LAKEVIEW CLINIC LTD
  • Facility Address: 424 STATE HWY 5 WEST
    WACONIA, MN
    ZIP 55387
  • Facility Phone: 952 442-4461
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JUSTIN PELTOLA
  • NPI Number: 1669599981
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0400859
LAB Type Physician Office
Facility Name LAKEVIEW CLINIC LTD
Street 424 STATE HWY 5 WEST
City WACONIA
State MN
ZIP 55387
Phone 952 442-4461
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. JUSTIN PELTOLA

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