24D2123594 CLIA NUMBER - EDGEWOOD BAXTER LLC

Laboratory Demographics

  • CLIA Code: 24D2123594
  • Facility Name: EDGEWOOD BAXTER LLC
  • Facility Address: 14211 FIREWOOD DRIVE
    BAXTER, MN
    ZIP 56425
  • Facility Phone: 218 828-4770
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: COURTNEY MILBRADT
  • NPI Number: 1881141828
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2123594
LAB Type Assisted Living Facility
Facility Name EDGEWOOD BAXTER LLC
Street 14211 FIREWOOD DRIVE
City BAXTER
State MN
ZIP 56425
Phone 218 828-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Assisted Living Facility
Lab Director COURTNEY MILBRADT

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