24D0999799 CLIA NUMBER - THE COMMONS ON MARICE

Laboratory Demographics

  • CLIA Code: 24D0999799
  • Facility Name: THE COMMONS ON MARICE
  • Facility Address: 1380 MARICE DRIVE
    EAGAN, MN
    ZIP 55121
  • Facility Phone: 651 688-9999
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MEGAN BICKNER
  • NPI Number: 1578504437
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0999799
LAB Type Home Health Agency
Facility Name THE COMMONS ON MARICE
Street 1380 MARICE DRIVE
City EAGAN
State MN
ZIP 55121
Phone 651 688-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Home Health Agency
Lab Director MEGAN BICKNER

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