24D2186413 CLIA NUMBER - QUALICARE HOMES CORPORATION

Laboratory Demographics

  • CLIA Code: 24D2186413
  • Facility Name: QUALICARE HOMES CORPORATION
  • Facility Address: 950 121ST LN NW
    COON RAPIDS, MN
    ZIP 55448
  • Facility Phone: 763 324-8220
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AFOLABI O. OSIBERU
  • NPI Number: 1053944165
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2186413
LAB Type Assisted Living Facility
Facility Name QUALICARE HOMES CORPORATION
Street 950 121ST LN NW
City COON RAPIDS
State MN
ZIP 55448
Phone 763 324-8220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Assisted Living Facility
Lab Director AFOLABI O. OSIBERU

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