24D1029222 CLIA NUMBER - GUARDIAN ANGELS BY THE LAKE

Laboratory Demographics

  • CLIA Code: 24D1029222
  • Facility Name: GUARDIAN ANGELS BY THE LAKE
  • Facility Address: 13439 185TH LANE NW
    ELK RIVER, MN
    ZIP 55330
  • Facility Phone: 763 241-7682
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RICK HUNTINGTON
  • NPI Number: 1346730363
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1029222
LAB Type Assisted Living Facility
Facility Name GUARDIAN ANGELS BY THE LAKE
Street 13439 185TH LANE NW
City ELK RIVER
State MN
ZIP 55330
Phone 763 241-7682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Assisted Living Facility
Lab Director RICK HUNTINGTON

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