24D2298225 CLIA NUMBER - KALEIDOSCOPE CHARTER SCHOOL

Laboratory Demographics

  • CLIA Code: 24D2298225
  • Facility Name: KALEIDOSCOPE CHARTER SCHOOL
  • Facility Address: 7525 KALLAND AVE NE
    OTSEGO, MN
    ZIP 55301
  • Facility Phone: 763 428-1890
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: NICOLE CARLSON
  • NPI Number: 1770853020
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D2298225
LAB Type School/Student Health Service
Facility Name KALEIDOSCOPE CHARTER SCHOOL
Street 7525 KALLAND AVE NE
City OTSEGO
State MN
ZIP 55301
Phone 763 428-1890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type School/Student Health Service
Lab Director NICOLE CARLSON

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