24D0666964 CLIA NUMBER - LAKEHOUSE HEALTHCARE AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 24D0666964
  • Facility Name: LAKEHOUSE HEALTHCARE AND REHABILITATION CENTER
  • Facility Address: 3737 BRYANT AVE S
    MINNEAPOLIS, MN
    ZIP 55409
  • Facility Phone: 612 827-8382
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: COLLEEN JAMES
  • NPI Number: 1356421846
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0666964
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKEHOUSE HEALTHCARE AND REHABILITATION CENTER
Street 3737 BRYANT AVE S
City MINNEAPOLIS
State MN
ZIP 55409
Phone 612 827-8382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director COLLEEN JAMES

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