24D1048703 CLIA NUMBER - ECUMEN WORTHINGTON THE MEADOWS

Laboratory Demographics

CLIA Number: 24D1048703

Facility Name: ECUMEN WORTHINGTON THE MEADOWS

Facility Address:
1801 COLLEGEWAY
WORTHINGTON, MN
ZIP 56187
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Facility Phone Number: 507 372-7838

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1265646236

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D1048703
LAB Type	Assisted Living Facility
Facility Name	ECUMEN WORTHINGTON THE MEADOWS
Street	1801 COLLEGEWAY
City	WORTHINGTON
State	MN
ZIP	56187
Phone	507 372-7838
CertificateType	4
CertificateEffectiveDate	12/8/2023
CertificateExpirationDate	12/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024