24D2055657 CLIA NUMBER - AGELESS CARE, INC

Laboratory Demographics

  • CLIA Code: 24D2055657
  • Facility Name: AGELESS CARE, INC
  • Facility Address: 702 7TH ST SW
    ROSEAU, MN
    ZIP 56751
  • Facility Phone: 218 463-3695
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHAWNY ELYK-PREVSOT
  • NPI Number: 1194935619
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2055657
LAB Type Assisted Living Facility
Facility Name AGELESS CARE, INC
Street 702 7TH ST SW
City ROSEAU
State MN
ZIP 56751
Phone 218 463-3695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Assisted Living Facility
Lab Director SHAWNY ELYK-PREVSOT

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