24D2251034 CLIA NUMBER - BECKY'S PLACE INC

Laboratory Demographics

  • CLIA Code: 24D2251034
  • Facility Name: BECKY'S PLACE INC
  • Facility Address: 6391 DUCK LAKE ROAD
    EDEN PRAIRIE, MN
    ZIP 55346
  • Facility Phone: 952 906-9181
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DARLA THAO
  • NPI Number: 1952568511
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2251034
LAB Type Assisted Living Facility
Facility Name BECKY'S PLACE INC
Street 6391 DUCK LAKE ROAD
City EDEN PRAIRIE
State MN
ZIP 55346
Phone 952 906-9181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Assisted Living Facility
Lab Director DARLA THAO

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