24D2005334 CLIA NUMBER - AGATE BAY ASSISTED LIVING LLC

Laboratory Demographics

  • CLIA Code: 24D2005334
  • Facility Name: AGATE BAY ASSISTED LIVING LLC
  • Facility Address: 414 1ST AVE
    TWO HARBORS, MN
    ZIP 55616
  • Facility Phone: 218 834-6174
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SAMANTHA J. HIGGS
  • NPI Number: 1205426939
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2005334
LAB Type Assisted Living Facility
Facility Name AGATE BAY ASSISTED LIVING LLC
Street 414 1ST AVE
City TWO HARBORS
State MN
ZIP 55616
Phone 218 834-6174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Assisted Living Facility
Lab Director SAMANTHA J. HIGGS

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