24D1085477 CLIA NUMBER - LEGACY CARE HOME

Laboratory Demographics

  • CLIA Code: 24D1085477
  • Facility Name: LEGACY CARE HOME
  • Facility Address: 14900 CROWN DRIVE
    MINNETONKA, MN
    ZIP 55345
  • Facility Phone: 612 810-7537
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CATALINA HEMP
  • NPI Number: 1659717692
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1085477
LAB Type Other
Facility Name LEGACY CARE HOME
Street 14900 CROWN DRIVE
City MINNETONKA
State MN
ZIP 55345
Phone 612 810-7537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Other
Lab Director CATALINA HEMP

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