24D2239089 CLIA NUMBER - STONECREST LIVING

Laboratory Demographics

  • CLIA Code: 24D2239089
  • Facility Name: STONECREST LIVING
  • Facility Address: 3601 SHADY OAK RD
    MINNETONKA, MN
    ZIP 55305
  • Facility Phone: 612 422-1251
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: FATUN A. AHMED
  • NPI Number: 1134773047
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2239089
LAB Type Assisted Living Facility
Facility Name STONECREST LIVING
Street 3601 SHADY OAK RD
City MINNETONKA
State MN
ZIP 55305
Phone 612 422-1251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Assisted Living Facility
Lab Director FATUN A. AHMED

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