24D2294842 CLIA NUMBER - DEEP HARMONY HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2294842
  • Facility Name: DEEP HARMONY HOME CARE LLC
  • Facility Address: 8051 HORNELL AVE S
    COTTAGE GROVE, MN
    ZIP 55016
  • Facility Phone: 651 368-8000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SARAH R. CASSELL
  • NPI Number: 1013296748
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2294842
LAB Type Assisted Living Facility
Facility Name DEEP HARMONY HOME CARE LLC
Street 8051 HORNELL AVE S
City COTTAGE GROVE
State MN
ZIP 55016
Phone 651 368-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Assisted Living Facility
Lab Director SARAH R. CASSELL

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