24D2123106 CLIA NUMBER - RIVERS EDGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D2123106
  • Facility Name: RIVERS EDGE ASSISTED LIVING
  • Facility Address: 11 MINNESOTA AVE SOUTH
    AITKIN, MN
    ZIP 56431
  • Facility Phone: 218 429-5786
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRIS BACKSTROM
  • NPI Number: 1790235786
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2123106
LAB Type Assisted Living Facility
Facility Name RIVERS EDGE ASSISTED LIVING
Street 11 MINNESOTA AVE SOUTH
City AITKIN
State MN
ZIP 56431
Phone 218 429-5786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Assisted Living Facility
Lab Director KRIS BACKSTROM

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