24D1040149 CLIA NUMBER - HAVEN HOMES ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D1040149
  • Facility Name: HAVEN HOMES ASSISTED LIVING
  • Facility Address: 4848 GATEWAY BLVD
    MAPLE PLAIN, MN
    ZIP 55359
  • Facility Phone: (763) 479-3655
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ERIN KRAMER
  • NPI Number: 1447253661
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1040149
LAB Type Assisted Living Facility
Facility Name HAVEN HOMES ASSISTED LIVING
Street 4848 GATEWAY BLVD
City MAPLE PLAIN
State MN
ZIP 55359
Phone 7634793655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Assisted Living Facility
Lab Director ERIN KRAMER

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This page was last updated on: 5/18/2026