24D2131050 CLIA NUMBER - SUITE LIVING MEMORY CARE & ASSISTED LIVING OF VADNAIS HEIGHTS

Laboratory Demographics

  • CLIA Code: 24D2131050
  • Facility Name: SUITE LIVING MEMORY CARE & ASSISTED LIVING OF VADNAIS HEIGHTS
  • Facility Address: 580 LIBERTY WAY
    VADNAIS HEIGHTS, MN
    ZIP 55127
  • Facility Phone: 651 424-0047
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELE M. NYARECHA
  • NPI Number: 1235629395
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2131050
LAB Type Assisted Living Facility
Facility Name SUITE LIVING MEMORY CARE & ASSISTED LIVING OF VADNAIS HEIGHTS
Street 580 LIBERTY WAY
City VADNAIS HEIGHTS
State MN
ZIP 55127
Phone 651 424-0047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Assisted Living Facility
Lab Director MICHELE M. NYARECHA

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