24D2233492 CLIA NUMBER - LAKES INTERNATIONAL LANGUAGE ACADEMY

Laboratory Demographics

  • CLIA Code: 24D2233492
  • Facility Name: LAKES INTERNATIONAL LANGUAGE ACADEMY
  • Facility Address: 19850 FENWAY AVE N
    FOREST LAKE, MN
    ZIP 55025
  • Facility Phone: 651 464-0771
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SHANNON M. PETERSON
  • NPI Number: 1811393572
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 24D2233492
LAB Type School/Student Health Service
Facility Name LAKES INTERNATIONAL LANGUAGE ACADEMY
Street 19850 FENWAY AVE N
City FOREST LAKE
State MN
ZIP 55025
Phone 651 464-0771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type School/Student Health Service
Lab Director SHANNON M. PETERSON

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