24D2032778 CLIA NUMBER - SHEPHERD'S PATH SENIOR HOUSING INC

Laboratory Demographics

  • CLIA Code: 24D2032778
  • Facility Name: SHEPHERD'S PATH SENIOR HOUSING INC
  • Facility Address: 13810 SHEPHERD'S PATH
    PRIOR LAKE, MN
    ZIP 55372
  • Facility Phone: 952 230-3300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATALIE J. MORLAND
  • NPI Number: 1972929131
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2032778
LAB Type Assisted Living Facility
Facility Name SHEPHERD'S PATH SENIOR HOUSING INC
Street 13810 SHEPHERD'S PATH
City PRIOR LAKE
State MN
ZIP 55372
Phone 952 230-3300
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 NATALIE J. MORLAND

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