24D2252279 CLIA NUMBER - MAPLEWOOD CARE RESIDENCE

Laboratory Demographics

  • CLIA Code: 24D2252279
  • Facility Name: MAPLEWOOD CARE RESIDENCE
  • Facility Address: 2338 OVERLOOK CIRCLE
    MAPLEWOOD, MN
    ZIP 55119
  • Facility Phone: 763 550-1774
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SANDRA K. HORTON
  • NPI Number: 1255507364
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2252279
LAB Type Assisted Living Facility
Facility Name MAPLEWOOD CARE RESIDENCE
Street 2338 OVERLOOK CIRCLE
City MAPLEWOOD
State MN
ZIP 55119
Phone 763 550-1774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Assisted Living Facility
Lab Director SANDRA K. HORTON

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