24D1061130 CLIA NUMBER - CARDENAS FRIENDSHIP HOMES

Laboratory Demographics

  • CLIA Code: 24D1061130
  • Facility Name: CARDENAS FRIENDSHIP HOMES
  • Facility Address: 912 KNOB HILL ROAD
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 612 219-9728
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CHANDRA HURLBUT
  • NPI Number: 1033260369
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1061130
LAB Type Assisted Living Facility
Facility Name CARDENAS FRIENDSHIP HOMES
Street 912 KNOB HILL ROAD
City BURNSVILLE
State MN
ZIP 55337
Phone 612 219-9728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Assisted Living Facility
Lab Director CHANDRA HURLBUT

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