24D1042494 CLIA NUMBER - PHOENIX RESIDENCE JANET COURT

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1042494
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name PHOENIX RESIDENCE JANET COURT
Street 1769 JANET COURT
City ARDEN HILLS
State MN
ZIP 55112
Phone 6512942074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2026
Certificate Expiration Date 4/11/2028
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director KIMBERLY E. HUMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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