24D1084496 CLIA NUMBER - ECUMEN NORTH BRANCH

Laboratory Demographics

  • CLIA Code: 24D1084496
  • Facility Name: ECUMEN NORTH BRANCH
  • Facility Address: 5380 383RD STREET
    NORTH BRANCH, MN
    ZIP 55056
  • Facility Phone: 651 237-3004
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER SCHIFSKY
  • NPI Number: 1578602884
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1084496
LAB Type Assisted Living Facility
Facility Name ECUMEN NORTH BRANCH
Street 5380 383RD STREET
City NORTH BRANCH
State MN
ZIP 55056
Phone 651 237-3004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Assisted Living Facility
Lab Director JENNIFER SCHIFSKY

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