24D2014488 CLIA NUMBER - CERENITY RESIDENCE ON HUMBOLDT

Laboratory Demographics

  • CLIA Code: 24D2014488
  • Facility Name: CERENITY RESIDENCE ON HUMBOLDT
  • Facility Address: 514 HUMBOLDT AVENUE
    SAINT PAUL, MN
    ZIP 55107
  • Facility Phone: 651 220-1700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTI FUNK
  • NPI Number: 1881685915
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2014488
LAB Type Assisted Living Facility
Facility Name CERENITY RESIDENCE ON HUMBOLDT
Street 514 HUMBOLDT AVENUE
City SAINT PAUL
State MN
ZIP 55107
Phone 651 220-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Assisted Living Facility
Lab Director KRISTI FUNK

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