24D2004807 CLIA NUMBER - SUNLIGHT SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2004807
  • Facility Name: SUNLIGHT SENIOR LIVING
  • Facility Address: 400 WESTERN AVENUE N
    SAINT PAUL, MN
    ZIP 55103
  • Facility Phone: 651 714-5056
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RAQUEL EDERY
  • NPI Number: 1922581685
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2004807
LAB Type Assisted Living Facility
Facility Name SUNLIGHT SENIOR LIVING
Street 400 WESTERN AVENUE N
City SAINT PAUL
State MN
ZIP 55103
Phone 651 714-5056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Assisted Living Facility
Lab Director RAQUEL EDERY

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