24D0864231 CLIA NUMBER - SHAKOPEE DAKOTA CLINIC

Laboratory Demographics

  • CLIA Code: 24D0864231
  • Facility Name: SHAKOPEE DAKOTA CLINIC
  • Facility Address: 2330 SIOUX TR NW
    PRIOR LAKE, MN
    ZIP 55372
  • Facility Phone: (952) 233-4204
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID A. WILLEY

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CLIA Record

Field Name Field Value
CLIA Number 24D0864231
LAB Type Physician Office
Facility Name SHAKOPEE DAKOTA CLINIC
Street 2330 SIOUX TR NW
City PRIOR LAKE
State MN
ZIP 55372
Phone 9522334204
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director DAVID A. WILLEY

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This page was last updated on: 5/18/2026