24D1027079 CLIA NUMBER - PINES III ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D1027079
  • Facility Name: PINES III ASSISTED LIVING
  • Facility Address: 50 E ST MARIE STREET
    DULUTH, MN
    ZIP 55803
  • Facility Phone: 218 724-5500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATALIE OLSON
  • NPI Number: 1942603022
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1027079
LAB Type Assisted Living Facility
Facility Name PINES III ASSISTED LIVING
Street 50 E ST MARIE STREET
City DULUTH
State MN
ZIP 55803
Phone 218 724-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Assisted Living Facility
Lab Director NATALIE OLSON

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