24D2252844 CLIA NUMBER - MINNETONKA CARE RESIDENCE

Laboratory Demographics

  • CLIA Code: 24D2252844
  • Facility Name: MINNETONKA CARE RESIDENCE
  • Facility Address: 421 SPRING VALLEY DRIVE
    BLOOMINGTON, MN
    ZIP 55420
  • Facility Phone: 763 550-1774
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SANDRA K. HORTON
  • NPI Number: 1700156163
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2252844
LAB Type Assisted Living Facility
Facility Name MINNETONKA CARE RESIDENCE
Street 421 SPRING VALLEY DRIVE
City BLOOMINGTON
State MN
ZIP 55420
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 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Assisted Living Facility
Lab Director SANDRA K. HORTON

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