24D2190396 CLIA NUMBER - THE BIRCHES AT TRILLIUM WOODS

Laboratory Demographics

  • CLIA Code: 24D2190396
  • Facility Name: THE BIRCHES AT TRILLIUM WOODS
  • Facility Address: 14585 59TH AVE N
    PLYMOUTH, MN
    ZIP 55446
  • Facility Phone: 763 762-7907
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOE AMEND-MARSHALL
  • NPI Number: 1396127213
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2190396
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THE BIRCHES AT TRILLIUM WOODS
Street 14585 59TH AVE N
City PLYMOUTH
State MN
ZIP 55446
Phone 763 762-7907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOE AMEND-MARSHALL

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