24D2189632 CLIA NUMBER - ACE HOMES INC

Laboratory Demographics

  • CLIA Code: 24D2189632
  • Facility Name: ACE HOMES INC
  • Facility Address: 3425 77TH AVE N
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 612 702-3012
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KALEB HAILU
  • NPI Number: 1144877101
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2189632
LAB Type Assisted Living Facility
Facility Name ACE HOMES INC
Street 3425 77TH AVE N
City BROOKLYN PARK
State MN
ZIP 55443
Phone 612 702-3012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Assisted Living Facility
Lab Director KALEB HAILU

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