24D2184791 CLIA NUMBER - AFFINITY RESIDENTIAL CARE HOME

Laboratory Demographics

  • CLIA Code: 24D2184791
  • Facility Name: AFFINITY RESIDENTIAL CARE HOME
  • Facility Address: 9213 ELLIOT AVE SOUTH
    BLOOMINGTON, MN
    ZIP 55420
  • Facility Phone: 952 417-6368
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ZAHNIA HARUT
  • NPI Number: 1548817620
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2184791
LAB Type Assisted Living Facility
Facility Name AFFINITY RESIDENTIAL CARE HOME
Street 9213 ELLIOT AVE SOUTH
City BLOOMINGTON
State MN
ZIP 55420
Phone 952 417-6368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Assisted Living Facility
Lab Director ZAHNIA HARUT

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