24D2184242 CLIA NUMBER - BROOKVIEW COTTAGE

Laboratory Demographics

  • CLIA Code: 24D2184242
  • Facility Name: BROOKVIEW COTTAGE
  • Facility Address: 4359 BENT TREE LANE
    EAGAN, MN
    ZIP 55123
  • Facility Phone: 651 308-2528
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: TARA TRUAX-NEWHOUSE
  • NPI Number: 1598481442
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2184242
LAB Type Other - GROUP HOME
Facility Name BROOKVIEW COTTAGE
Street 4359 BENT TREE LANE
City EAGAN
State MN
ZIP 55123
Phone 651 308-2528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Other - GROUP HOME
Lab Director TARA TRUAX-NEWHOUSE

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