24D2103306 CLIA NUMBER - THE ROSEMOUNT

Laboratory Demographics

  • CLIA Code: 24D2103306
  • Facility Name: THE ROSEMOUNT
  • Facility Address: 14344 CAMEO AVENUE
    ROSEMOUNT, MN
    ZIP 55068
  • Facility Phone: 651 356-1385
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA L. KRUSE
  • NPI Number: 1467818690
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2103306
LAB Type Assisted Living Facility
Facility Name THE ROSEMOUNT
Street 14344 CAMEO AVENUE
City ROSEMOUNT
State MN
ZIP 55068
Phone 651 356-1385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Assisted Living Facility
Lab Director JESSICA L. KRUSE

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