24D2155140 CLIA NUMBER - HAVENWOOD OF RICHFIELD

Laboratory Demographics

  • CLIA Code: 24D2155140
  • Facility Name: HAVENWOOD OF RICHFIELD
  • Facility Address: 245 WEST 76TH STREET
    RICHFIELD, MN
    ZIP 55423
  • Facility Phone: 612 260-9393
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE RYAN
  • NPI Number: 1205587144
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2155140
LAB Type Assisted Living Facility
Facility Name HAVENWOOD OF RICHFIELD
Street 245 WEST 76TH STREET
City RICHFIELD
State MN
ZIP 55423
Phone 612 260-9393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Assisted Living Facility
Lab Director MICHELLE RYAN

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