24D2015826 CLIA NUMBER - ARBOR LAKES SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2015826
  • Facility Name: ARBOR LAKES SENIOR LIVING
  • Facility Address: 12001 - 80TH AVENUE N
    MAPLE GROVE, MN
    ZIP 55369
  • Facility Phone: 763 478-2141
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LISA M. LEMIEUX
  • NPI Number: 1033415070
  • Taxonomy: 3104A0630X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2015826
LAB Type Assisted Living Facility
Facility Name ARBOR LAKES SENIOR LIVING
Street 12001 - 80TH AVENUE N
City MAPLE GROVE
State MN
ZIP 55369
Phone 763 478-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Assisted Living Facility
Lab Director LISA M. LEMIEUX

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