24D0957658 CLIA NUMBER - NEW BEGINNINGS AT WAVERLY LLC DBA EOSIS NEW BEGINNINGS

Laboratory Demographics

  • CLIA Code: 24D0957658
  • Facility Name: NEW BEGINNINGS AT WAVERLY LLC DBA EOSIS NEW BEGINNINGS
  • Facility Address: 109 NORTH SHORE DR
    WAVERLY, MN
    ZIP 55390
  • Facility Phone: 612 454-5000
  • Facility Type: Other - SUD TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: ERNEST LAMPE
  • NPI Number: 1386155901
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0957658
LAB Type Other - SUD TREATMENT FACILITY
Facility Name NEW BEGINNINGS AT WAVERLY LLC DBA EOSIS NEW BEGINNINGS
Street 109 NORTH SHORE DR
City WAVERLY
State MN
ZIP 55390
Phone 612 454-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Other - SUD TREATMENT FACILITY
Lab Director ERNEST LAMPE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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