24D1101554 CLIA NUMBER - KINGSWAY RETIREMENT LIVING

Laboratory Demographics

  • CLIA Code: 24D1101554
  • Facility Name: KINGSWAY RETIREMENT LIVING
  • Facility Address: 815 W MAIN STREET
    BELLE PLAINE, MN
    ZIP 56011
  • Facility Phone: 952 873-5912
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SARA DESJARDINS
  • NPI Number: 1356589097
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1101554
LAB Type Assisted Living Facility
Facility Name KINGSWAY RETIREMENT LIVING
Street 815 W MAIN STREET
City BELLE PLAINE
State MN
ZIP 56011
Phone 952 873-5912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Assisted Living Facility
Lab Director SARA DESJARDINS

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