24D2185391 CLIA NUMBER - WELLNESS HOMES, INC

Laboratory Demographics

  • CLIA Code: 24D2185391
  • Facility Name: WELLNESS HOMES, INC
  • Facility Address: 4137 CHICAGO AVENUE
    MINNEAPOLIS, MN
    ZIP 55407
  • Facility Phone: 612 701-5965
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MUSTAFA N. SAID
  • NPI Number: 1841651916
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2185391
LAB Type Assisted Living Facility
Facility Name WELLNESS HOMES, INC
Street 4137 CHICAGO AVENUE
City MINNEAPOLIS
State MN
ZIP 55407
Phone 612 701-5965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Assisted Living Facility
Lab Director MUSTAFA N. SAID

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