24D0402605 CLIA NUMBER - ESTATES AT ST LOUIS PARK, THE

Laboratory Demographics

  • CLIA Code: 24D0402605
  • Facility Name: ESTATES AT ST LOUIS PARK, THE
  • Facility Address: 3201 VIRGINIA AVENUE S
    SAINT LOUIS PARK, MN
    ZIP 55426
  • Facility Phone: 952 935-0333
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL DUKINFIELD
  • NPI Number: 1689112153
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0402605
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ESTATES AT ST LOUIS PARK, THE
Street 3201 VIRGINIA AVENUE S
City SAINT LOUIS PARK
State MN
ZIP 55426
Phone 952 935-0333
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 MICHAEL DUKINFIELD

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