24D2109842 CLIA NUMBER - EDGEWOOD SARTELL

Laboratory Demographics

  • CLIA Code: 24D2109842
  • Facility Name: EDGEWOOD SARTELL
  • Facility Address: 677 BRIANNA DRIVE
    SARTELL, MN
    ZIP 56377
  • Facility Phone: 320 281-3343
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ASHELY KALTHOFF
  • NPI Number: 1093253346
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2109842
LAB Type Assisted Living Facility
Facility Name EDGEWOOD SARTELL
Street 677 BRIANNA DRIVE
City SARTELL
State MN
ZIP 56377
Phone 320 281-3343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Assisted Living Facility
Lab Director ASHELY KALTHOFF

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