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24D2110716 CLIA NUMBER - SCENIC HILLS ALTERNATIVE CARE

Laboratory Demographics

CLIA Number: 24D2110716

Facility Name: SCENIC HILLS ALTERNATIVE CARE

Facility Address:
6230 10TH STREET NORTH
OAKDALE, MN
ZIP 55128
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Facility Phone Number: 651 735-7259

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1942241344

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 24D2110716
LAB Type Assisted Living Facility
Facility Name SCENIC HILLS ALTERNATIVE CARE
Street 6230 10TH STREET NORTH
City OAKDALE
State MN
ZIP 55128
Phone 651 735-7259
CertificateType 4
CertificateEffectiveDate 3/22/2024
CertificateExpirationDate 3/21/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024