24D2087518 CLIA NUMBER - STONEY RIVER RAMSEY

Laboratory Demographics

  • CLIA Code: 24D2087518
  • Facility Name: STONEY RIVER RAMSEY
  • Facility Address: 14401 NOWTHEN BLVD NW
    RAMSEY, MN
    ZIP 55303
  • Facility Phone: 715 316-7517
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JILL WIPPLER
  • NPI Number: 1376095471
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2087518
LAB Type Assisted Living Facility
Facility Name STONEY RIVER RAMSEY
Street 14401 NOWTHEN BLVD NW
City RAMSEY
State MN
ZIP 55303
Phone 715 316-7517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Assisted Living Facility
Lab Director JILL WIPPLER

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