24D2198734 CLIA NUMBER - ESTHERRA CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2198734
  • Facility Name: ESTHERRA CARE LLC
  • Facility Address: 7357 CHOWEN AVENUE NORTH
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 952 688-7164
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ESTHER WAKO
  • NPI Number: 1750980603
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2198734
LAB Type Assisted Living Facility
Facility Name ESTHERRA CARE LLC
Street 7357 CHOWEN AVENUE NORTH
City BROOKLYN PARK
State MN
ZIP 55443
Phone 952 688-7164
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Assisted Living Facility
Lab Director ESTHER WAKO

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