24D1040150 CLIA NUMBER - WESTWOOD PLACE

Laboratory Demographics

  • CLIA Code: 24D1040150
  • Facility Name: WESTWOOD PLACE
  • Facility Address: 209 JEFFERSON AVE SW
    WATERTOWN, MN
    ZIP 55388
  • Facility Phone: 952 955-1399
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MATTHEW K. NELSON-LANGE
  • NPI Number: 1528150174
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 24D1040150
LAB Type Assisted Living Facility
Facility Name WESTWOOD PLACE
Street 209 JEFFERSON AVE SW
City WATERTOWN
State MN
ZIP 55388
Phone 952 955-1399
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 MATTHEW K. NELSON-LANGE

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