24D2044924 CLIA NUMBER - FOUNDER'S RIDGE

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Laboratory Demographics

CLIA Number: 24D2044924

Facility Name: FOUNDER'S RIDGE

Facility Address:
6600 AUTO CLUB ROAD
BLOOMINGTON, MN
ZIP 55438
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Facility Phone Number: 651 785-4307

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1053737213

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D2044924
LAB Type	Assisted Living Facility
Facility Name	FOUNDER'S RIDGE
Street	6600 AUTO CLUB ROAD
City	BLOOMINGTON
State	MN
ZIP	55438
Phone	651 785-4307
CertificateType	4
CertificateEffectiveDate	8/2/2022
CertificateExpirationDate	8/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024