24D2175296 CLIA NUMBER - PARADISE CARE HOMES LLC

Laboratory Demographics

  • CLIA Code: 24D2175296
  • Facility Name: PARADISE CARE HOMES LLC
  • Facility Address: 2501 E 24TH STREET
    MINNEAPOLIS, MN
    ZIP 55406
  • Facility Phone: 612 859-6065
  • Facility Type: Other - HOUSING WITH SERVICES
  • Facility Type: Waiver
  • Lab Director: XUAN LY
  • NPI Number: 1265916670
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2175296
LAB Type Other - HOUSING WITH SERVICES
Facility Name PARADISE CARE HOMES LLC
Street 2501 E 24TH STREET
City MINNEAPOLIS
State MN
ZIP 55406
Phone 612 859-6065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Other - HOUSING WITH SERVICES
Lab Director XUAN LY

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