24D2000360 CLIA NUMBER - MAPLE WOODS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D2000360
  • Facility Name: MAPLE WOODS ASSISTED LIVING
  • Facility Address: 40170 COUNTY ROAD 257
    COHASSET, MN
    ZIP 55721
  • Facility Phone: 218 999-9072
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEAN DICKSON
  • NPI Number: 1285904672
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2000360
LAB Type Assisted Living Facility
Facility Name MAPLE WOODS ASSISTED LIVING
Street 40170 COUNTY ROAD 257
City COHASSET
State MN
ZIP 55721
Phone 218 999-9072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Assisted Living Facility
Lab Director DEAN DICKSON

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