24D0683353 CLIA NUMBER - ROBBINSDALE A VILLA CENTER

Laboratory Demographics

  • CLIA Code: 24D0683353
  • Facility Name: ROBBINSDALE A VILLA CENTER
  • Facility Address: 3130 GRIMES AVE NORTH
    ROBBINSDALE, MN
    ZIP 55422
  • Facility Phone: 763 588-0771
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAXTON WIFFLER
  • NPI Number: 1023182565
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0683353
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROBBINSDALE A VILLA CENTER
Street 3130 GRIMES AVE NORTH
City ROBBINSDALE
State MN
ZIP 55422
Phone 763 588-0771
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 PAXTON WIFFLER

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