24D2083564 CLIA NUMBER - CEDAR COTTAGE

Laboratory Demographics

  • CLIA Code: 24D2083564
  • Facility Name: CEDAR COTTAGE
  • Facility Address: 1711 DELTON AVE NW
    BEMIDJI, MN
    ZIP 56601
  • Facility Phone: 218 444-3047
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: WENDY GLASS
  • NPI Number: 1427145762
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2083564
LAB Type Assisted Living Facility
Facility Name CEDAR COTTAGE
Street 1711 DELTON AVE NW
City BEMIDJI
State MN
ZIP 56601
Phone 218 444-3047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Assisted Living Facility
Lab Director WENDY GLASS

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