24D2187591 CLIA NUMBER - COMPASSIONATE HOME CARE NURSING SERVICES INC (DESTINY HOME)

Laboratory Demographics

  • CLIA Code: 24D2187591
  • Facility Name: COMPASSIONATE HOME CARE NURSING SERVICES INC (DESTINY HOME)
  • Facility Address: 7416 COLORADO AVE N
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 763 600-6295
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: OLUSOLA R. ROTIMI
  • NPI Number: 1316658115
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 24D2187591
LAB Type Assisted Living Facility
Facility Name COMPASSIONATE HOME CARE NURSING SERVICES INC (DESTINY HOME)
Street 7416 COLORADO AVE N
City BROOKLYN PARK
State MN
ZIP 55443
Phone 763 600-6295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Assisted Living Facility
Lab Director OLUSOLA R. ROTIMI

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