24D0711900 CLIA NUMBER - INDEPENDENT SCHOOL DISTRICT 16

Laboratory Demographics

  • CLIA Code: 24D0711900
  • Facility Name: INDEPENDENT SCHOOL DISTRICT 16
  • Facility Address: 1415 81ST AVE NE
    SPRING LAKE PARK, MN
    ZIP 55432
  • Facility Phone: 763 600-5043
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: REBECCA WILLIAMS
  • NPI Number: 1659732360
  • Taxonomy: 171WH0202X - Contractor

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CLIA Record

Field Name Field Value
CLIA Number 24D0711900
LAB Type School/Student Health Service
Facility Name INDEPENDENT SCHOOL DISTRICT 16
Street 1415 81ST AVE NE
City SPRING LAKE PARK
State MN
ZIP 55432
Phone 763 600-5043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type School/Student Health Service
Lab Director REBECCA WILLIAMS

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