24D2180812 CLIA NUMBER - RISEN HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2180812
  • Facility Name: RISEN HOME CARE LLC
  • Facility Address: 3012 THURBER RD
    BROOKLYN CENTER, MN
    ZIP 55429
  • Facility Phone: 763 227-8846
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANGELIQUE KAPILA
  • NPI Number: 1154968824
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2180812
LAB Type Assisted Living Facility
Facility Name RISEN HOME CARE LLC
Street 3012 THURBER RD
City BROOKLYN CENTER
State MN
ZIP 55429
Phone 763 227-8846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Assisted Living Facility
Lab Director ANGELIQUE KAPILA

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