24D2181486 CLIA NUMBER - CARE4LIFE HOME LLC

Laboratory Demographics

CLIA Number: 24D2181486

Facility Name: CARE4LIFE HOME LLC

Facility Address:
1540 CIRCLE DR
BURNSVILLE, MN
ZIP 55337
Get Directions

Facility Phone Number: 952 657-0972

Facility Type: Other - HOUSING WITH SERVICES

Certificate Type: Waiver

NPI Number: 1982248324

Taxonomy: 163WH0200X - Registered Nurse

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
CertificateType	4
CertificateEffectiveDate	4/6/2024
CertificateExpirationDate	4/5/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024