24D2050111 CLIA NUMBER - LILAC HOMES ASSISTED LIVING MEMORY CARE

Laboratory Demographics

  • CLIA Code: 24D2050111
  • Facility Name: LILAC HOMES ASSISTED LIVING MEMORY CARE
  • Facility Address: 2615 PARKVIEW DRIVE
    MOORHEAD, MN
    ZIP 56560
  • Facility Phone: 218 443-2426
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GINA L. NELSON
  • NPI Number: 1982956140
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2050111
LAB Type Assisted Living Facility
Facility Name LILAC HOMES ASSISTED LIVING MEMORY CARE
Street 2615 PARKVIEW DRIVE
City MOORHEAD
State MN
ZIP 56560
Phone 218 443-2426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Assisted Living Facility
Lab Director GINA L. NELSON

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