24D1095373 CLIA NUMBER - THE GABLES OF BOUTWELLS LANDING

Laboratory Demographics

  • CLIA Code: 24D1095373
  • Facility Name: THE GABLES OF BOUTWELLS LANDING
  • Facility Address: 13575 58TH ST
    OAK PARK HEIGHTS, MN
    ZIP 55082
  • Facility Phone: 651 275-5000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER SATHER
  • NPI Number: 1205077559
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1095373
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THE GABLES OF BOUTWELLS LANDING
Street 13575 58TH ST
City OAK PARK HEIGHTS
State MN
ZIP 55082
Phone 651 275-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER SATHER

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