24D0675220 CLIA NUMBER - COURAGE KENNY REHABILITATION INSTITUTE TRP

Laboratory Demographics

  • CLIA Code: 24D0675220
  • Facility Name: COURAGE KENNY REHABILITATION INSTITUTE TRP
  • Facility Address: 3915 GOLDEN VALLEY ROAD
    GOLDEN VALLEY, MN
    ZIP 55422
  • Facility Phone: 612 775-2835
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARCIA LINDIG
  • NPI Number: 1245579713
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0675220
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COURAGE KENNY REHABILITATION INSTITUTE TRP
Street 3915 GOLDEN VALLEY ROAD
City GOLDEN VALLEY
State MN
ZIP 55422
Phone 612 775-2835
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 MARCIA LINDIG

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