24D1029904 CLIA NUMBER - AUGUSTANA EMERALD CARE OF SHAKOPEE

Laboratory Demographics

  • CLIA Code: 24D1029904
  • Facility Name: AUGUSTANA EMERALD CARE OF SHAKOPEE
  • Facility Address: 1855 10TH AVENUE WEST
    SHAKOPEE, MN
    ZIP 55379
  • Facility Phone: 952 856-7510
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHARON M. WILSON
  • NPI Number: 1295064137
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1029904
LAB Type Assisted Living Facility
Facility Name AUGUSTANA EMERALD CARE OF SHAKOPEE
Street 1855 10TH AVENUE WEST
City SHAKOPEE
State MN
ZIP 55379
Phone 952 856-7510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Assisted Living Facility
Lab Director SHARON M. WILSON

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