24D2254783 CLIA NUMBER - INTERMEDIATE SCHOOL DISTRICT 917

Laboratory Demographics

  • CLIA Code: 24D2254783
  • Facility Name: INTERMEDIATE SCHOOL DISTRICT 917
  • Facility Address: 1300 145TH ST EAST
    ROSEMOUNT, MN
    ZIP 55068
  • Facility Phone: 651 423-8214
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MELISSA SCHALLER
  • NPI Number: 1346331469
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2254783
LAB Type School/Student Health Service
Facility Name INTERMEDIATE SCHOOL DISTRICT 917
Street 1300 145TH ST EAST
City ROSEMOUNT
State MN
ZIP 55068
Phone 651 423-8214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type School/Student Health Service
Lab Director MELISSA SCHALLER

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