24D2168994 CLIA NUMBER - MERCY CARE HOME

Laboratory Demographics

  • CLIA Code: 24D2168994
  • Facility Name: MERCY CARE HOME
  • Facility Address: 5005 WOODLAND RD
    MINNETONKA, MN
    ZIP 55345
  • Facility Phone: 612 226-0533
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MUSA JIMAALE
  • NPI Number: 1902361280
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2168994
LAB Type Assisted Living Facility
Facility Name MERCY CARE HOME
Street 5005 WOODLAND RD
City MINNETONKA
State MN
ZIP 55345
Phone 612 226-0533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Assisted Living Facility
Lab Director MUSA JIMAALE

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