24D2041371 CLIA NUMBER - SUMMIT HILL SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2041371
  • Facility Name: SUMMIT HILL SENIOR LIVING
  • Facility Address: 1824 OLD HUDSON ROAD
    SAINT PAUL, MN
    ZIP 55119
  • Facility Phone: 651 767-9572
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SANDRA HICK
  • NPI Number: 1134487556
  • Taxonomy: 3104A0630X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2041371
LAB Type Assisted Living Facility
Facility Name SUMMIT HILL SENIOR LIVING
Street 1824 OLD HUDSON ROAD
City SAINT PAUL
State MN
ZIP 55119
Phone 651 767-9572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Assisted Living Facility
Lab Director SANDRA HICK

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