24D2276308 CLIA NUMBER - LAKE VALLEY HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 24D2276308
  • Facility Name: LAKE VALLEY HOSPICE LLC
  • Facility Address: 4517 MINNETONKA RD
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Facility Phone: 763 220-0467
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TRISHA CURIOZ
  • NPI Number: 1558071910
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2276308
LAB Type Hospice
Facility Name LAKE VALLEY HOSPICE LLC
Street 4517 MINNETONKA RD
City SAINT LOUIS PARK
State MN
ZIP 55416
Phone 763 220-0467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Hospice
Lab Director TRISHA CURIOZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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