24D2163774 CLIA NUMBER - LEGACY CARE HOME

Laboratory Demographics

  • CLIA Code: 24D2163774
  • Facility Name: LEGACY CARE HOME
  • Facility Address: 5230 CIRCLE DOWN
    GOLDEN VALLEY, MN
    ZIP 55416
  • Facility Phone: 612 310-5597
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CATALINA J. HEMP

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2163774
LAB Type Assisted Living Facility
Facility Name LEGACY CARE HOME
Street 5230 CIRCLE DOWN
City GOLDEN VALLEY
State MN
ZIP 55416
Phone 612 310-5597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Assisted Living Facility
Lab Director CATALINA J. HEMP

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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