24D1068793 CLIA NUMBER - ELIM SHORES

Laboratory Demographics

  • CLIA Code: 24D1068793
  • Facility Name: ELIM SHORES
  • Facility Address: 7900 TIMBER LAKE DRIVE
    EDEN PRAIRIE, MN
    ZIP 55347
  • Facility Phone: 952 934-3005
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JASON NELSON
  • NPI Number: 1598882334
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1068793
LAB Type Assisted Living Facility
Facility Name ELIM SHORES
Street 7900 TIMBER LAKE DRIVE
City EDEN PRAIRIE
State MN
ZIP 55347
Phone 952 934-3005
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 Assisted Living Facility
Lab Director JASON NELSON

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