24D2175254 CLIA NUMBER - T & R HOMES

Laboratory Demographics

  • CLIA Code: 24D2175254
  • Facility Name: T & R HOMES
  • Facility Address: 11409 SWALLOW ST NW
    COON RAPIDS, MN
    ZIP 55433
  • Facility Phone: 763 208-1028
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TIFFANY A. JOHNSON
  • NPI Number: 1477100287
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2175254
LAB Type Assisted Living Facility
Facility Name T & R HOMES
Street 11409 SWALLOW ST NW
City COON RAPIDS
State MN
ZIP 55433
Phone 763 208-1028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Assisted Living Facility
Lab Director TIFFANY A. JOHNSON

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