24D0663456 CLIA NUMBER - MOUNT OLIVET CAREVIEW HOMES

Laboratory Demographics

  • CLIA Code: 24D0663456
  • Facility Name: MOUNT OLIVET CAREVIEW HOMES
  • Facility Address: 5517 LYNDALE AVE SOUTH
    MINNEAPOLIS, MN
    ZIP 55419
  • Facility Phone: 612 821-3131
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRITNI BOLSTAD
  • NPI Number: 1457350720
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0663456
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MOUNT OLIVET CAREVIEW HOMES
Street 5517 LYNDALE AVE SOUTH
City MINNEAPOLIS
State MN
ZIP 55419
Phone 612 821-3131
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 BRITNI BOLSTAD

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