24D1037013 CLIA NUMBER - EDGEWOOD EAST GRAND FORKS SENIOR LIVING, LLC

Laboratory Demographics

  • CLIA Code: 24D1037013
  • Facility Name: EDGEWOOD EAST GRAND FORKS SENIOR LIVING, LLC
  • Facility Address: 608 5TH AVE NW
    EAST GRAND FORKS, MN
    ZIP 56721
  • Facility Phone: (218) 773-6648
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LOIS USTANKO

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CLIA Record

Field Name Field Value
CLIA Number 24D1037013
LAB Type Assisted Living Facility
Facility Name EDGEWOOD EAST GRAND FORKS SENIOR LIVING, LLC
Street 608 5TH AVE NW
City EAST GRAND FORKS
State MN
ZIP 56721
Phone 2187736648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Assisted Living Facility
Lab Director LOIS USTANKO

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This page was last updated on: 5/15/2026