24D2323360 CLIA NUMBER - TENACITY LIVING

Laboratory Demographics

  • CLIA Code: 24D2323360
  • Facility Name: TENACITY LIVING
  • Facility Address: 2183 MAPLEVIEW AVENUE
    MAPLEWOOD, MN
    ZIP 55109
  • Facility Phone: 651 412-4200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GOU SHENG VANG-LEE
  • NPI Number: 1164268793
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2323360
LAB Type Assisted Living Facility
Facility Name TENACITY LIVING
Street 2183 MAPLEVIEW AVENUE
City MAPLEWOOD
State MN
ZIP 55109
Phone 651 412-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Assisted Living Facility
Lab Director GOU SHENG VANG-LEE

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