24D2045240 CLIA NUMBER - PINES-AUGUSTANA RESIDENTIAL CARE, THE

Laboratory Demographics

  • CLIA Code: 24D2045240
  • Facility Name: PINES-AUGUSTANA RESIDENTIAL CARE, THE
  • Facility Address: 400 WEST 67TH STREET
    RICHFIELD, MN
    ZIP 55423
  • Facility Phone: 612 861-3331
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARGARET E. MARSO
  • NPI Number: 1801465406
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2045240
LAB Type Assisted Living Facility
Facility Name PINES-AUGUSTANA RESIDENTIAL CARE, THE
Street 400 WEST 67TH STREET
City RICHFIELD
State MN
ZIP 55423
Phone 612 861-3331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Assisted Living Facility
Lab Director MARGARET E. MARSO

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