24D2179517 CLIA NUMBER - THREE STARS GROUP HOMES LLC

Laboratory Demographics

  • CLIA Code: 24D2179517
  • Facility Name: THREE STARS GROUP HOMES LLC
  • Facility Address: 630 VIRGINIA STREET
    SAINT PAUL, MN
    ZIP 55103
  • Facility Phone: 651 468-4729
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEBESAY GIRMALUL
  • NPI Number: 1992337893
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2179517
LAB Type Home Health Agency
Facility Name THREE STARS GROUP HOMES LLC
Street 630 VIRGINIA STREET
City SAINT PAUL
State MN
ZIP 55103
Phone 651 468-4729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Home Health Agency
Lab Director DEBESAY GIRMALUL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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