24D0956842 CLIA NUMBER - LAKEWALK SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 24D0956842
  • Facility Name: LAKEWALK SURGERY CENTER INC
  • Facility Address: 1420 LONDON ROAD SUITE 100
    DULUTH, MN
    ZIP 55805
  • Facility Phone: 218 728-0650
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER DAVIES
  • NPI Number: 1891730644
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0956842
LAB Type Ambulatory Surgery Center
Facility Name LAKEWALK SURGERY CENTER INC
Street 1420 LONDON ROAD SUITE 100
City DULUTH
State MN
ZIP 55805
Phone 218 728-0650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. CHRISTOPHER DAVIES

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