24D2178960 CLIA NUMBER - NASIYE GROUP HOME CORP

Laboratory Demographics

  • CLIA Code: 24D2178960
  • Facility Name: NASIYE GROUP HOME CORP
  • Facility Address: 3913 4TH AVE S
    MINNEAPOLIS, MN
    ZIP 55409
  • Facility Phone: 612 205-9142
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARIYAN A. JAMA
  • NPI Number: 1902443765
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2178960
LAB Type Assisted Living Facility
Facility Name NASIYE GROUP HOME CORP
Street 3913 4TH AVE S
City MINNEAPOLIS
State MN
ZIP 55409
Phone 612 205-9142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Assisted Living Facility
Lab Director MARIYAN A. JAMA

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