24D0719362 CLIA NUMBER - ESTATES AT FRIDLEY, THE

Laboratory Demographics

  • CLIA Code: 24D0719362
  • Facility Name: ESTATES AT FRIDLEY, THE
  • Facility Address: 5700 EAST RIVER ROAD
    FRIDLEY, MN
    ZIP 55432
  • Facility Phone: 763 571-3150
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CARRIE PATTERSON
  • NPI Number: 1962940437
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0719362
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ESTATES AT FRIDLEY, THE
Street 5700 EAST RIVER ROAD
City FRIDLEY
State MN
ZIP 55432
Phone 763 571-3150
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 CARRIE PATTERSON

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