24D1099298 CLIA NUMBER - BLC-EDINA PARK PLAZA, LLC DBA BROOKDALE EDINA

Laboratory Demographics

  • CLIA Code: 24D1099298
  • Facility Name: BLC-EDINA PARK PLAZA, LLC DBA BROOKDALE EDINA
  • Facility Address: 3330 EDINBOROUGH WAY
    EDINA, MN
    ZIP 55435
  • Facility Phone: 952 831-4084
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SARAH MCDONAGH
  • NPI Number: 1851083166
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1099298
LAB Type Assisted Living Facility
Facility Name BLC-EDINA PARK PLAZA, LLC DBA BROOKDALE EDINA
Street 3330 EDINBOROUGH WAY
City EDINA
State MN
ZIP 55435
Phone 952 831-4084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Assisted Living Facility
Lab Director SARAH MCDONAGH

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