24D2066884 CLIA NUMBER - VALORA SENIOR LIVING OF ST ANTHONY

Laboratory Demographics

  • CLIA Code: 24D2066884
  • Facility Name: VALORA SENIOR LIVING OF ST ANTHONY
  • Facility Address: 2540 KENZIE TERRACE
    ST ANTHONY, MN
    ZIP 55418
  • Facility Phone: 952 920-0400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ASHLEY CUNNINGHAM
  • NPI Number: 1437507332
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2066884
LAB Type Assisted Living Facility
Facility Name VALORA SENIOR LIVING OF ST ANTHONY
Street 2540 KENZIE TERRACE
City ST ANTHONY
State MN
ZIP 55418
Phone 952 920-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Assisted Living Facility
Lab Director ASHLEY CUNNINGHAM

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