24D2106603 CLIA NUMBER - ELMORE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D2106603
  • Facility Name: ELMORE ASSISTED LIVING
  • Facility Address: 202 NORTH STREET EAST
    ELMORE, MN
    ZIP 56027
  • Facility Phone: (763) 233-7565
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NINA HANEVIK
  • NPI Number: 1003281973
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2106603
LAB Type Assisted Living Facility
Facility Name ELMORE ASSISTED LIVING
Street 202 NORTH STREET EAST
City ELMORE
State MN
ZIP 56027
Phone 7632337565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2025
Certificate Expiration Date 12/21/2027
Facility Type Assisted Living Facility
Lab Director NINA HANEVIK

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This page was last updated on: 5/18/2026