24D0973098 CLIA NUMBER - ROYCE PLACE

Laboratory Demographics

  • CLIA Code: 24D0973098
  • Facility Name: ROYCE PLACE
  • Facility Address: 1515 44TH AVE N
    COLUMBIA HEIGHTS, MN
    ZIP 55421
  • Facility Phone: 763 782-1611
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SIMON MITTAL
  • NPI Number: 1568796100
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0973098
LAB Type Assisted Living Facility
Facility Name ROYCE PLACE
Street 1515 44TH AVE N
City COLUMBIA HEIGHTS
State MN
ZIP 55421
Phone 763 782-1611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Assisted Living Facility
Lab Director SIMON MITTAL

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