24D2091140 CLIA NUMBER - BEL RAE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2091140
  • Facility Name: BEL RAE SENIOR LIVING
  • Facility Address: 2330 MOUNDS VIEW BLVD
    MOUNDS VIEW, MN
    ZIP 55112
  • Facility Phone: 763 784-7633
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN LEATHES
  • NPI Number: 1598348302
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2091140
LAB Type Assisted Living Facility
Facility Name BEL RAE SENIOR LIVING
Street 2330 MOUNDS VIEW BLVD
City MOUNDS VIEW
State MN
ZIP 55112
Phone 763 784-7633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Assisted Living Facility
Lab Director SUSAN LEATHES

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