24D2106258 CLIA NUMBER - NEW JOURNEY RESIDENCE

Laboratory Demographics

  • CLIA Code: 24D2106258
  • Facility Name: NEW JOURNEY RESIDENCE
  • Facility Address: 303 HAT TRICK AVENUE
    EVELETH, MN
    ZIP 55734
  • Facility Phone: 218 744-5907
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATASHA BRAY
  • NPI Number: 1730550047
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2106258
LAB Type Assisted Living Facility
Facility Name NEW JOURNEY RESIDENCE
Street 303 HAT TRICK AVENUE
City EVELETH
State MN
ZIP 55734
Phone 218 744-5907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Assisted Living Facility
Lab Director NATASHA BRAY

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