24D2249464 CLIA NUMBER - LAKESIDE FAMILY EYE CARE

Laboratory Demographics

  • CLIA Code: 24D2249464
  • Facility Name: LAKESIDE FAMILY EYE CARE
  • Facility Address: 16250 DULUTH AVE SE STE 100
    PRIOR LAKE, MN
    ZIP 55372
  • Facility Phone: 952 447-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA A. DAWSON-CLAUSEN
  • NPI Number: 1164448627
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2249464
LAB Type Physician Office
Facility Name LAKESIDE FAMILY EYE CARE
Street 16250 DULUTH AVE SE STE 100
City PRIOR LAKE
State MN
ZIP 55372
Phone 952 447-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director LISA A. DAWSON-CLAUSEN

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