24D1061114 CLIA NUMBER - AMAZING LOVE, LLC

Laboratory Demographics

  • CLIA Code: 24D1061114
  • Facility Name: AMAZING LOVE, LLC
  • Facility Address: 5724 56TH AVENUE NORTH
    CRYSTAL, MN
    ZIP 55429
  • Facility Phone: 763 561-3434
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: YEMMY OSONOWO
  • NPI Number: 1265527832
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1061114
LAB Type Assisted Living Facility
Facility Name AMAZING LOVE, LLC
Street 5724 56TH AVENUE NORTH
City CRYSTAL
State MN
ZIP 55429
Phone 763 561-3434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Assisted Living Facility
Lab Director YEMMY OSONOWO

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