24D2273795 CLIA NUMBER - PRESTIGIOUS CARE HOMES

Laboratory Demographics

  • CLIA Code: 24D2273795
  • Facility Name: PRESTIGIOUS CARE HOMES
  • Facility Address: 4369 EWING AVE
    ROBBINSDALE, MN
    ZIP 55422
  • Facility Phone: 763 910-8070
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARIE F. DWEH
  • NPI Number: 1629769815
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2273795
LAB Type Assisted Living Facility
Facility Name PRESTIGIOUS CARE HOMES
Street 4369 EWING AVE
City ROBBINSDALE
State MN
ZIP 55422
Phone 763 910-8070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Assisted Living Facility
Lab Director MARIE F. DWEH

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