24D0401292 CLIA NUMBER - ALLINA HEALTH EAST LAKE STREET CLINIC

Laboratory Demographics

  • CLIA Code: 24D0401292
  • Facility Name: ALLINA HEALTH EAST LAKE STREET CLINIC
  • Facility Address: 3024 SNELLING AVENUE
    MINNEAPOLIS, MN
    ZIP 55406
  • Facility Phone: 612 863-0430
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JASON A. DANIELS
  • NPI Number: 1285930065
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0401292
LAB Type Community Clinic
Facility Name ALLINA HEALTH EAST LAKE STREET CLINIC
Street 3024 SNELLING AVENUE
City MINNEAPOLIS
State MN
ZIP 55406
Phone 612 863-0430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Community Clinic
Lab Director JASON A. DANIELS

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