24D2181486 CLIA NUMBER - CARE4LIFE HOME LLC

Laboratory Demographics

  • CLIA Code: 24D2181486
  • Facility Name: CARE4LIFE HOME LLC
  • Facility Address: 1540 CIRCLE DR
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 952 657-0972
  • Facility Type: Other - HOUSING WITH SERVICES
  • Facility Type: Waiver
  • Lab Director: NASRA Y. AHMED
  • NPI Number: 1982248324
  • Taxonomy: 163WH0200X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 24D2181486
LAB Type Other - HOUSING WITH SERVICES
Facility Name CARE4LIFE HOME LLC
Street 1540 CIRCLE DR
City BURNSVILLE
State MN
ZIP 55337
Phone 952 657-0972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Other - HOUSING WITH SERVICES
Lab Director NASRA Y. AHMED

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