24D1057894 CLIA NUMBER - SOUTHVIEW SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D1057894
  • Facility Name: SOUTHVIEW SENIOR LIVING
  • Facility Address: 1984 OAKDALE AVENUE
    WEST SAINT PAUL, MN
    ZIP 55118
  • Facility Phone: 651 554-4838
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LISA M. CLOUD
  • NPI Number: 1710050836
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1057894
LAB Type Home Health Agency
Facility Name SOUTHVIEW SENIOR LIVING
Street 1984 OAKDALE AVENUE
City WEST SAINT PAUL
State MN
ZIP 55118
Phone 651 554-4838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Home Health Agency
Lab Director LISA M. CLOUD

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