24D2135052 CLIA NUMBER - BROOKSIDE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2135052
  • Facility Name: BROOKSIDE SENIOR LIVING
  • Facility Address: 804 BENSON ROAD
    MONTEVIDEO, MN
    ZIP 56265
  • Facility Phone: 320 301-7411
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RACQUEL J. BEATTIE
  • NPI Number: 1942728662
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2135052
LAB Type Assisted Living Facility
Facility Name BROOKSIDE SENIOR LIVING
Street 804 BENSON ROAD
City MONTEVIDEO
State MN
ZIP 56265
Phone 320 301-7411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Assisted Living Facility
Lab Director RACQUEL J. BEATTIE

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