24D0673756 CLIA NUMBER - THE WATERVIEW SHORES

Laboratory Demographics

  • CLIA Code: 24D0673756
  • Facility Name: THE WATERVIEW SHORES
  • Facility Address: 402 13TH AVE
    TWO HARBORS, MN
    ZIP 55616
  • Facility Phone: 218 834-8374
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELLY RAY
  • NPI Number: 1750946539
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0673756
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THE WATERVIEW SHORES
Street 402 13TH AVE
City TWO HARBORS
State MN
ZIP 55616
Phone 218 834-8374
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 KELLY RAY

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