24D0401306 CLIA NUMBER - ESTATES AT CHATEAU LLC, THE

Laboratory Demographics

  • CLIA Code: 24D0401306
  • Facility Name: ESTATES AT CHATEAU LLC, THE
  • Facility Address: 2106 2ND AVE S
    MINNEAPOLIS, MN
    ZIP 55404
  • Facility Phone: 612 874-1603
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TSEWANG NGODUP
  • NPI Number: 1417495987
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0401306
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ESTATES AT CHATEAU LLC, THE
Street 2106 2ND AVE S
City MINNEAPOLIS
State MN
ZIP 55404
Phone 612 874-1603
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 TSEWANG NGODUP

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