24D2279177 CLIA NUMBER - MNGI ENDOSCOPY - LAKEVILLE

Laboratory Demographics

  • CLIA Code: 24D2279177
  • Facility Name: MNGI ENDOSCOPY - LAKEVILLE
  • Facility Address: 18465 ORCHARD TRAIL, SUITE 300
    LAKEVILLE, MN
    ZIP 55044
  • Facility Phone: 612 290-4557
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAJAN NAGPAL
  • NPI Number: 1669496345
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2279177
LAB Type Ambulatory Surgery Center
Facility Name MNGI ENDOSCOPY - LAKEVILLE
Street 18465 ORCHARD TRAIL, SUITE 300
City LAKEVILLE
State MN
ZIP 55044
Phone 612 290-4557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Ambulatory Surgery Center
Lab Director SAJAN NAGPAL

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