24D1034575 CLIA NUMBER - TEMPERANCE LAKE RIDGE

Laboratory Demographics

  • CLIA Code: 24D1034575
  • Facility Name: TEMPERANCE LAKE RIDGE
  • Facility Address: 410 FOX LAKE AVENUE
    SHERBURN, MN
    ZIP 56171
  • Facility Phone: 507 464-4977
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LISA M. LANGE
  • NPI Number: 1285690347
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1034575
LAB Type Assisted Living Facility
Facility Name TEMPERANCE LAKE RIDGE
Street 410 FOX LAKE AVENUE
City SHERBURN
State MN
ZIP 56171
Phone 507 464-4977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Assisted Living Facility
Lab Director LISA M. LANGE

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