24D2079441 CLIA NUMBER - CHERRYWOOD OF ANDOVER 1889

Laboratory Demographics

  • CLIA Code: 24D2079441
  • Facility Name: CHERRYWOOD OF ANDOVER 1889
  • Facility Address: 1889 139TH AVE NW
    ANDOVER, MN
    ZIP 55304
  • Facility Phone: 320 257-7445
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMY SCHERMER
  • NPI Number: 1013350693
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2079441
LAB Type Assisted Living Facility
Facility Name CHERRYWOOD OF ANDOVER 1889
Street 1889 139TH AVE NW
City ANDOVER
State MN
ZIP 55304
Phone 320 257-7445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Assisted Living Facility
Lab Director AMY SCHERMER

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