24D1042960 CLIA NUMBER - FAIRWAY VIEW ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D1042960
  • Facility Name: FAIRWAY VIEW ASSISTED LIVING
  • Facility Address: 215 LUNDELL AVE
    ORTONVILLE, MN
    ZIP 56278
  • Facility Phone: 320 839-2397
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHERRY DEYO
  • NPI Number: 1740304963
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1042960
LAB Type Assisted Living Facility
Facility Name FAIRWAY VIEW ASSISTED LIVING
Street 215 LUNDELL AVE
City ORTONVILLE
State MN
ZIP 56278
Phone 320 839-2397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Assisted Living Facility
Lab Director SHERRY DEYO

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