24D2124625 CLIA NUMBER - RIDGEWOOD MANOR (HCP) OAK HOUSE (HWS)

Laboratory Demographics

  • CLIA Code: 24D2124625
  • Facility Name: RIDGEWOOD MANOR (HCP) OAK HOUSE (HWS)
  • Facility Address: 10038 215TH AVE NW
    ELK RIVER, MN
    ZIP 55330
  • Facility Phone: 320 336-9835
  • Facility Type: Other - COMPREHENSIVE HOME CARE H
  • Facility Type: Waiver
  • Lab Director: MELISSA K. KOOP
  • NPI Number: 1407280720
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2124625
LAB Type Other - COMPREHENSIVE HOME CARE H
Facility Name RIDGEWOOD MANOR (HCP) OAK HOUSE (HWS)
Street 10038 215TH AVE NW
City ELK RIVER
State MN
ZIP 55330
Phone 320 336-9835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Other - COMPREHENSIVE HOME CARE H
Lab Director MELISSA K. KOOP

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