24D0713614 CLIA NUMBER - LAKES REGION EMS INC

Laboratory Demographics

  • CLIA Code: 24D0713614
  • Facility Name: LAKES REGION EMS INC
  • Facility Address: 40245 FLETCHER AVE
    NORTH BRANCH, MN
    ZIP 55056
  • Facility Phone: 651 277-4911
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHELLE J. ANDERSON
  • NPI Number: 1487685947
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 24D0713614
LAB Type Ambulance
Facility Name LAKES REGION EMS INC
Street 40245 FLETCHER AVE
City NORTH BRANCH
State MN
ZIP 55056
Phone 651 277-4911
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 Ambulance
Lab Director MICHELLE J. ANDERSON

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