24D2179408 CLIA NUMBER - STONEBAY SENIOR LIVING, LLC

Laboratory Demographics

  • CLIA Code: 24D2179408
  • Facility Name: STONEBAY SENIOR LIVING, LLC
  • Facility Address: 2635 KELLEY PARKWAY
    ORONO, MN
    ZIP 55356
  • Facility Phone: 952 200-0585
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TRACI BRAKEFIELD
  • NPI Number: 1073269486
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2179408
LAB Type Assisted Living Facility
Facility Name STONEBAY SENIOR LIVING, LLC
Street 2635 KELLEY PARKWAY
City ORONO
State MN
ZIP 55356
Phone 952 200-0585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Assisted Living Facility
Lab Director TRACI BRAKEFIELD

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