24D2326143 CLIA NUMBER - STONEHAVEN ALF, LLC DBA STONEHAVEN SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2326143
  • Facility Name: STONEHAVEN ALF, LLC DBA STONEHAVEN SENIOR LIVING
  • Facility Address: 1000 STATION TRAIL
    EAGAN, MN
    ZIP 55123
  • Facility Phone: 651 686-4366
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CANDACE L. RENKEN
  • NPI Number: 1346053865
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2326143
LAB Type Assisted Living Facility
Facility Name STONEHAVEN ALF, LLC DBA STONEHAVEN SENIOR LIVING
Street 1000 STATION TRAIL
City EAGAN
State MN
ZIP 55123
Phone 651 686-4366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Assisted Living Facility
Lab Director CANDACE L. RENKEN

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