24D2076503 CLIA NUMBER - ASHBY LIVING CENTER

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Laboratory Demographics

CLIA Number: 24D2076503

Facility Name: ASHBY LIVING CENTER

Facility Address:
112 IVERSON AVE
ASHBY, MN
ZIP 56309
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Facility Phone Number: 218 747-2995

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1528316346

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D2076503
LAB Type	Assisted Living Facility
Facility Name	ASHBY LIVING CENTER
Street	112 IVERSON AVE
City	ASHBY
State	MN
ZIP	56309
Phone	218 747-2995
CertificateType	4
CertificateEffectiveDate	4/22/2024
CertificateExpirationDate	4/21/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024