24D2192784 CLIA NUMBER - NOAH ASSISTING LIVING INC

Laboratory Demographics

  • CLIA Code: 24D2192784
  • Facility Name: NOAH ASSISTING LIVING INC
  • Facility Address: 5100 XERXES AVE N
    MINNEAPOLIS, MN
    ZIP 55430
  • Facility Phone: 952 649-0662
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: IKRAM OMAR
  • NPI Number: 1568084051
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2192784
LAB Type Home Health Agency
Facility Name NOAH ASSISTING LIVING INC
Street 5100 XERXES AVE N
City MINNEAPOLIS
State MN
ZIP 55430
Phone 952 649-0662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Home Health Agency
Lab Director IKRAM OMAR

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