24D2096190 CLIA NUMBER - EAGAN POINTE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2096190
  • Facility Name: EAGAN POINTE SENIOR LIVING
  • Facility Address: 4232 BLACKHAWK ROAD
    EAGAN, MN
    ZIP 55122
  • Facility Phone: 651 724-2312
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JERILYNN COOK-TREZIOK
  • NPI Number: 1285010074
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2096190
LAB Type Assisted Living Facility
Facility Name EAGAN POINTE SENIOR LIVING
Street 4232 BLACKHAWK ROAD
City EAGAN
State MN
ZIP 55122
Phone 651 724-2312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Assisted Living Facility
Lab Director JERILYNN COOK-TREZIOK

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