24D2099403 CLIA NUMBER - THE LODGE OF TAYLORS FALLS

Laboratory Demographics

  • CLIA Code: 24D2099403
  • Facility Name: THE LODGE OF TAYLORS FALLS
  • Facility Address: 1051 MULBERRY STREET
    TAYLORS FALLS, MN
    ZIP 55084
  • Facility Phone: 651 240-0140
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTINA ROBELIA
  • NPI Number: 1760861975
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2099403
LAB Type Assisted Living Facility
Facility Name THE LODGE OF TAYLORS FALLS
Street 1051 MULBERRY STREET
City TAYLORS FALLS
State MN
ZIP 55084
Phone 651 240-0140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Assisted Living Facility
Lab Director KRISTINA ROBELIA

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