24D2243799 CLIA NUMBER - EVENTIDE THE LINDEN

Laboratory Demographics

  • CLIA Code: 24D2243799
  • Facility Name: EVENTIDE THE LINDEN
  • Facility Address: 1500 7TH ST S
    MOORHEAD, MN
    ZIP 56560
  • Facility Phone: 218 291-2225
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RACHEL NOGOSEK
  • NPI Number: 1487705653
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2243799
LAB Type Assisted Living Facility
Facility Name EVENTIDE THE LINDEN
Street 1500 7TH ST S
City MOORHEAD
State MN
ZIP 56560
Phone 218 291-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Assisted Living Facility
Lab Director RACHEL NOGOSEK

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