24D0400826 CLIA NUMBER - SHAKOPEE FRIENDSHIP MANOR HCC

Laboratory Demographics

  • CLIA Code: 24D0400826
  • Facility Name: SHAKOPEE FRIENDSHIP MANOR HCC
  • Facility Address: 1340 3RD AVE W
    SHAKOPEE, MN
    ZIP 55379
  • Facility Phone: (952) 445-4155
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. LYNN HASSELIUS
  • NPI Number: 1063462059
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0400826
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHAKOPEE FRIENDSHIP MANOR HCC
Street 1340 3RD AVE W
City SHAKOPEE
State MN
ZIP 55379
Phone 9524454155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. LYNN HASSELIUS

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This page was last updated on: 5/18/2026