24D2167403 CLIA NUMBER - ELEVATED ASSISTED LIVING, LLC DBA PROJECT CARING

Laboratory Demographics

  • CLIA Code: 24D2167403
  • Facility Name: ELEVATED ASSISTED LIVING, LLC DBA PROJECT CARING
  • Facility Address: 14410 21ST STREET NORTH
    STILLWATER, MN
    ZIP 55082
  • Facility Phone: 651 485-0860
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DAVID A. ITMAN
  • NPI Number: 1144787441
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2167403
LAB Type Assisted Living Facility
Facility Name ELEVATED ASSISTED LIVING, LLC DBA PROJECT CARING
Street 14410 21ST STREET NORTH
City STILLWATER
State MN
ZIP 55082
Phone 651 485-0860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Assisted Living Facility
Lab Director DAVID A. ITMAN

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