24D2182018 CLIA NUMBER - HAVENWOOD OF BUFFALO

Laboratory Demographics

  • CLIA Code: 24D2182018
  • Facility Name: HAVENWOOD OF BUFFALO
  • Facility Address: 150 DIVISION STREET EAST
    BUFFALO, MN
    ZIP 55313
  • Facility Phone: 612 439-2510
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EVA J. HOOK
  • NPI Number: 1275284101
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2182018
LAB Type Assisted Living Facility
Facility Name HAVENWOOD OF BUFFALO
Street 150 DIVISION STREET EAST
City BUFFALO
State MN
ZIP 55313
Phone 612 439-2510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Assisted Living Facility
Lab Director EVA J. HOOK

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