24D2092235 CLIA NUMBER - MAPLE HILL SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2092235
  • Facility Name: MAPLE HILL SENIOR LIVING
  • Facility Address: 3030 SOUTH LAWN DRIVE
    MAPLEWOOD, MN
    ZIP 55109
  • Facility Phone: 763 202-5037
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA M. BANTEL
  • NPI Number: 1215394952
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2092235
LAB Type Assisted Living Facility
Facility Name MAPLE HILL SENIOR LIVING
Street 3030 SOUTH LAWN DRIVE
City MAPLEWOOD
State MN
ZIP 55109
Phone 763 202-5037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Assisted Living Facility
Lab Director ANGELA M. BANTEL

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