24D2239935 CLIA NUMBER - BEACON ACADEMY CHARTER SCHOOL

Laboratory Demographics

  • CLIA Code: 24D2239935
  • Facility Name: BEACON ACADEMY CHARTER SCHOOL
  • Facility Address: 3415 LOUISIANA AVE N
    CRYSTAL, MN
    ZIP 55427
  • Facility Phone: 763 546-9999
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: STEPHANIE M. LEWIS
  • NPI Number: 1871860312
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2239935
LAB Type School/Student Health Service
Facility Name BEACON ACADEMY CHARTER SCHOOL
Street 3415 LOUISIANA AVE N
City CRYSTAL
State MN
ZIP 55427
Phone 763 546-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type School/Student Health Service
Lab Director STEPHANIE M. LEWIS

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