24D2259891 CLIA NUMBER - WILLOWS BEND SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2259891
  • Facility Name: WILLOWS BEND SENIOR LIVING
  • Facility Address: 6455 UNIVERSITY AVE NE
    FRIDLEY, MN
    ZIP 55432
  • Facility Phone: 763 308-2888
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER DAU
  • NPI Number: 1780318279
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2259891
LAB Type Assisted Living Facility
Facility Name WILLOWS BEND SENIOR LIVING
Street 6455 UNIVERSITY AVE NE
City FRIDLEY
State MN
ZIP 55432
Phone 763 308-2888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Assisted Living Facility
Lab Director JENNIFER DAU

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