24D2056573 CLIA NUMBER - RIVERFRONT MANOR

Laboratory Demographics

  • CLIA Code: 24D2056573
  • Facility Name: RIVERFRONT MANOR
  • Facility Address: 215 EAST MILL AVENUE
    PELICAN RAPIDS, MN
    ZIP 56572
  • Facility Phone: 218 863-1133
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MELANIE FARBER
  • NPI Number: 1730421249
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2056573
LAB Type Assisted Living Facility
Facility Name RIVERFRONT MANOR
Street 215 EAST MILL AVENUE
City PELICAN RAPIDS
State MN
ZIP 56572
Phone 218 863-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Assisted Living Facility
Lab Director MELANIE FARBER

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