24D2052645 CLIA NUMBER - BENET HALL

Laboratory Demographics

  • CLIA Code: 24D2052645
  • Facility Name: BENET HALL
  • Facility Address: 1001 KENWOOD AVENUE
    DULUTH, MN
    ZIP 55811
  • Facility Phone: 218 625-4828
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SETH B. JENKINS
  • NPI Number: 1649521444
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2052645
LAB Type Assisted Living Facility
Facility Name BENET HALL
Street 1001 KENWOOD AVENUE
City DULUTH
State MN
ZIP 55811
Phone 218 625-4828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Assisted Living Facility
Lab Director SETH B. JENKINS

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