24D2271749 CLIA NUMBER - MAPLE CARE HOMES APPLE VALLEY

Laboratory Demographics

  • CLIA Code: 24D2271749
  • Facility Name: MAPLE CARE HOMES APPLE VALLEY
  • Facility Address: 14424 LOWER GUTHRIE CT
    APPLE VALLEY, MN
    ZIP 55124
  • Facility Phone: 763 607-8373
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ERIKO PFANNENSTEIN
  • NPI Number: 1821663170
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2271749
LAB Type Assisted Living Facility
Facility Name MAPLE CARE HOMES APPLE VALLEY
Street 14424 LOWER GUTHRIE CT
City APPLE VALLEY
State MN
ZIP 55124
Phone 763 607-8373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Assisted Living Facility
Lab Director ERIKO PFANNENSTEIN

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