24D2152150 CLIA NUMBER - BRIDGEWAY ESTATES

Laboratory Demographics

  • CLIA Code: 24D2152150
  • Facility Name: BRIDGEWAY ESTATES
  • Facility Address: 103 12TH STREET NE
    LITTLE FALLS, MN
    ZIP 56345
  • Facility Phone: 320 632-2062
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELE HALVORSON
  • NPI Number: 1043235716
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2152150
LAB Type Assisted Living Facility
Facility Name BRIDGEWAY ESTATES
Street 103 12TH STREET NE
City LITTLE FALLS
State MN
ZIP 56345
Phone 320 632-2062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Assisted Living Facility
Lab Director MICHELE HALVORSON

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