24D0722315 CLIA NUMBER - PRIOR LAKE SAVAGE PUBLIC SCHOOLS ISD 719

Laboratory Demographics

  • CLIA Code: 24D0722315
  • Facility Name: PRIOR LAKE SAVAGE PUBLIC SCHOOLS ISD 719
  • Facility Address: 4540 TOWER STREET SE
    PRIOR LAKE, MN
    ZIP 55372
  • Facility Phone: 952 226-0093
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KATHRYN N. KEIL
  • NPI Number: 1679618326
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 24D0722315
LAB Type School/Student Health Service
Facility Name PRIOR LAKE SAVAGE PUBLIC SCHOOLS ISD 719
Street 4540 TOWER STREET SE
City PRIOR LAKE
State MN
ZIP 55372
Phone 952 226-0093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type School/Student Health Service
Lab Director KATHRYN N. KEIL

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