24D2179421 CLIA NUMBER - PRAIRIE BLUFFS SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2179421
  • Facility Name: PRAIRIE BLUFFS SENIOR LIVING
  • Facility Address: 10300 HENNEPIN TOWN RD
    EDEN PRAIRIE, MN
    ZIP 55347
  • Facility Phone: (952) 444-5000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE FREDERICK
  • NPI Number: 1740887090
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2179421
LAB Type Assisted Living Facility
Facility Name PRAIRIE BLUFFS SENIOR LIVING
Street 10300 HENNEPIN TOWN RD
City EDEN PRAIRIE
State MN
ZIP 55347
Phone 9524445000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2026
Certificate Expiration Date 2/23/2028
Facility Type Assisted Living Facility
Lab Director STEPHANIE FREDERICK

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This page was last updated on: 5/18/2026