24D2201438 CLIA NUMBER - ROSE ARBOR AND WILDFLOWER LODGE

Laboratory Demographics

  • CLIA Code: 24D2201438
  • Facility Name: ROSE ARBOR AND WILDFLOWER LODGE
  • Facility Address: 16500 92ND AVE N
    MAPLE GROVE, MN
    ZIP 55311
  • Facility Phone: 763 447-6575
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JILL M. WIPPLER
  • NPI Number: 1134278112
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2201438
LAB Type Assisted Living Facility
Facility Name ROSE ARBOR AND WILDFLOWER LODGE
Street 16500 92ND AVE N
City MAPLE GROVE
State MN
ZIP 55311
Phone 763 447-6575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Assisted Living Facility
Lab Director JILL M. WIPPLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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