24D2099517 CLIA NUMBER - EASTWOOD ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D2099517
  • Facility Name: EASTWOOD ASSISTED LIVING
  • Facility Address: 170 VALHALLA CIRCLE
    MORA, MN
    ZIP 55051
  • Facility Phone: 320 679-2916
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ASHLEY WELDON
  • NPI Number: 1891179271
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2099517
LAB Type Assisted Living Facility
Facility Name EASTWOOD ASSISTED LIVING
Street 170 VALHALLA CIRCLE
City MORA
State MN
ZIP 55051
Phone 320 679-2916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2023
Certificate Expiration Date 7/27/2025
Facility Type Assisted Living Facility
Lab Director ASHLEY WELDON

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This page was last updated on: 6/4/2025