24D2060066 CLIA NUMBER - SIGNE BURCKHARDT MANOR

Laboratory Demographics

  • CLIA Code: 24D2060066
  • Facility Name: SIGNE BURCKHARDT MANOR
  • Facility Address: 2533 1ST AVENUE SOUTH
    MINNEAPOLIS, MN
    ZIP 55404
  • Facility Phone: 612 821-2190
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANITA HARGIS
  • NPI Number: 1255452280
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2060066
LAB Type Assisted Living Facility
Facility Name SIGNE BURCKHARDT MANOR
Street 2533 1ST AVENUE SOUTH
City MINNEAPOLIS
State MN
ZIP 55404
Phone 612 821-2190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Assisted Living Facility
Lab Director ANITA HARGIS

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