24D0665556 CLIA NUMBER - CENTENNIAL GARDENS FOR NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 24D0665556
  • Facility Name: CENTENNIAL GARDENS FOR NURSING AND REHABILITATION
  • Facility Address: 3245 VERA CRUZ AVE N
    CRYSTAL, MN
    ZIP 55422
  • Facility Phone: 763 971-6300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN JOHNSON
  • NPI Number: 1013374008
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0665556
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTENNIAL GARDENS FOR NURSING AND REHABILITATION
Street 3245 VERA CRUZ AVE N
City CRYSTAL
State MN
ZIP 55422
Phone 763 971-6300
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 STEPHEN JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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