24D2041664 CLIA NUMBER - PHS/INVER GROVE INC DBA TIMBER HILLS

Laboratory Demographics

  • CLIA Code: 24D2041664
  • Facility Name: PHS/INVER GROVE INC DBA TIMBER HILLS
  • Facility Address: 6307 BURNHAM CIRCLE
    INVER GROVE HEIGHTS, MN
    ZIP 55076
  • Facility Phone: 651 554-7931
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA DAVIS
  • NPI Number: 1396161501
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2041664
LAB Type Assisted Living Facility
Facility Name PHS/INVER GROVE INC DBA TIMBER HILLS
Street 6307 BURNHAM CIRCLE
City INVER GROVE HEIGHTS
State MN
ZIP 55076
Phone 651 554-7931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Assisted Living Facility
Lab Director JESSICA DAVIS

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