24D2171697 CLIA NUMBER - EDEN PRAIRIE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2171697
  • Facility Name: EDEN PRAIRIE SENIOR LIVING
  • Facility Address: 8480 FRANLO RD
    EDEN PRAIRIE, MN
    ZIP 55344
  • Facility Phone: 651 370-1588
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PEGGY JOHNSON
  • NPI Number: 1073969812
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2171697
LAB Type Assisted Living Facility
Facility Name EDEN PRAIRIE SENIOR LIVING
Street 8480 FRANLO RD
City EDEN PRAIRIE
State MN
ZIP 55344
Phone 651 370-1588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Assisted Living Facility
Lab Director PEGGY JOHNSON

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