24D2169931 CLIA NUMBER - ELK RIVER SENIOR CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2169931
  • Facility Name: ELK RIVER SENIOR CARE LLC
  • Facility Address: 11124 183RD CIRCLE NW
    ELK RIVER, MN
    ZIP 55330
  • Facility Phone: 763 276-7076
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHARI KISH NEAL
  • NPI Number: 1811542160
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2169931
LAB Type Assisted Living Facility
Facility Name ELK RIVER SENIOR CARE LLC
Street 11124 183RD CIRCLE NW
City ELK RIVER
State MN
ZIP 55330
Phone 763 276-7076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Assisted Living Facility
Lab Director SHARI KISH NEAL

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