24D2028851 CLIA NUMBER - LINO LAKES ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D2028851
  • Facility Name: LINO LAKES ASSISTED LIVING
  • Facility Address: 725 TOWN CENTER PARKWAY
    LINO LAKES, MN
    ZIP 55014
  • Facility Phone: 763 267-6183
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JULIE BEAUCHAMP
  • NPI Number: 1720462617
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2028851
LAB Type Assisted Living Facility
Facility Name LINO LAKES ASSISTED LIVING
Street 725 TOWN CENTER PARKWAY
City LINO LAKES
State MN
ZIP 55014
Phone 763 267-6183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2023
Certificate Expiration Date 8/24/2025
Facility Type Assisted Living Facility
Lab Director JULIE BEAUCHAMP

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This page was last updated on: 6/4/2025