24D2048716 CLIA NUMBER - MINNESOTA SENIOR LIVING, DBA THE RIVERS

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Laboratory Demographics

CLIA Number: 24D2048716

Facility Name: MINNESOTA SENIOR LIVING, DBA THE RIVERS

Facility Address:
11111 RIVER HILLS DRIVE
BURNSVILLE, MN
ZIP 55337
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Facility Phone Number: 952 890-8553

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1104359827

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	24D2048716
LAB Type	Assisted Living Facility
Facility Name	MINNESOTA SENIOR LIVING, DBA THE RIVERS
Street	11111 RIVER HILLS DRIVE
City	BURNSVILLE
State	MN
ZIP	55337
Phone	952 890-8553
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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