24D2031568 CLIA NUMBER - OAK PARK SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2031568
  • Facility Name: OAK PARK SENIOR LIVING
  • Facility Address: 13936 LOWER 59TH STREET NORTH
    OAK PARK HEIGHTS, MN
    ZIP 55082
  • Facility Phone: (651) 275-8080
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PEGGY JOHNSON
  • NPI Number: 1891070793
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2031568
LAB Type Assisted Living Facility
Facility Name OAK PARK SENIOR LIVING
Street 13936 LOWER 59TH STREET NORTH
City OAK PARK HEIGHTS
State MN
ZIP 55082
Phone 6512758080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Assisted Living Facility
Lab Director PEGGY JOHNSON

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This page was last updated on: 5/18/2026