24D2244909 CLIA NUMBER - EDEN PRAIRIE PUBLIC SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 24D2244909
  • Facility Name: EDEN PRAIRIE PUBLIC SCHOOL DISTRICT
  • Facility Address: 13400 STARING LAKE PARKWAY
    EDEN PRAIRIE, MN
    ZIP 55347
  • Facility Phone: 952 975-7044
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: IRINA SOBOLEVA
  • NPI Number: 1205154739
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2244909
LAB Type School/Student Health Service
Facility Name EDEN PRAIRIE PUBLIC SCHOOL DISTRICT
Street 13400 STARING LAKE PARKWAY
City EDEN PRAIRIE
State MN
ZIP 55347
Phone 952 975-7044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type School/Student Health Service
Lab Director IRINA SOBOLEVA

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