24D1068783 CLIA NUMBER - HAMMER RESIDENCES, INC

Laboratory Demographics

CLIA Code: 24D1068783
Facility Name: HAMMER RESIDENCES, INC
Facility Address: 1909 WAYZATA BLVD E
WAYZATA, MN
ZIP 55391
Facility Phone: (952) 277-2454
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: JENNA NEAL
NPI Number: 1356427397
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	24D1068783
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	HAMMER RESIDENCES, INC
Street	1909 WAYZATA BLVD E
City	WAYZATA
State	MN
ZIP	55391
Phone	9522772454
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/21/2025
Certificate Expiration Date	5/20/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	JENNA NEAL

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