24D2283314 CLIA NUMBER - ORCHARD PATH

Laboratory Demographics

  • CLIA Code: 24D2283314
  • Facility Name: ORCHARD PATH
  • Facility Address: 5400 157TH STREET WEST
    APPLE VALLEY, MN
    ZIP 55124
  • Facility Phone: 952 595-6600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: FRED NYABERA
  • NPI Number: 1326737883
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2283314
LAB Type Assisted Living Facility
Facility Name ORCHARD PATH
Street 5400 157TH STREET WEST
City APPLE VALLEY
State MN
ZIP 55124
Phone 952 595-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Assisted Living Facility
Lab Director FRED NYABERA

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