24D2032752 CLIA NUMBER - PHS CHANHASSEN INC DBA SUMMER WOOD OF CHANHASSEN

Laboratory Demographics

  • CLIA Code: 24D2032752
  • Facility Name: PHS CHANHASSEN INC DBA SUMMER WOOD OF CHANHASSEN
  • Facility Address: 525 LAKE DRIVE
    CHANHASSEN, MN
    ZIP 55317
  • Facility Phone: 952 294-5503
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HOLLY WILLIAMS
  • NPI Number: 1114343332
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2032752
LAB Type Assisted Living Facility
Facility Name PHS CHANHASSEN INC DBA SUMMER WOOD OF CHANHASSEN
Street 525 LAKE DRIVE
City CHANHASSEN
State MN
ZIP 55317
Phone 952 294-5503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Assisted Living Facility
Lab Director HOLLY WILLIAMS

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