24D2142572 CLIA NUMBER - SANCTUARY AT BROOKLYN CENTER, THE

Laboratory Demographics

  • CLIA Code: 24D2142572
  • Facility Name: SANCTUARY AT BROOKLYN CENTER, THE
  • Facility Address: 6121 BROOKLYN BOULEVARD
    BROOKLYN CENTER, MN
    ZIP 55429
  • Facility Phone: 877 822-1495
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TASHA SPENCER
  • NPI Number: 1326555756
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2142572
LAB Type Assisted Living Facility
Facility Name SANCTUARY AT BROOKLYN CENTER, THE
Street 6121 BROOKLYN BOULEVARD
City BROOKLYN CENTER
State MN
ZIP 55429
Phone 877 822-1495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Assisted Living Facility
Lab Director TASHA SPENCER

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