24D2199525 CLIA NUMBER - SENIOR LIVING LLC

Laboratory Demographics

CLIA Code: 24D2199525
Facility Name: SENIOR LIVING LLC
Facility Address: 7949 BRUNSWICK AVENUE NORTH
BROOKLYN PARK, MN
ZIP 55443
Facility Phone: 763 400-1819
Facility Type: Assisted Living Facility
Facility Type: Waiver
Lab Director: ANKUR CHOPRA
NPI Number: 1437796976
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	24D2199525
LAB Type	Assisted Living Facility
Facility Name	SENIOR LIVING LLC
Street	7949 BRUNSWICK AVENUE NORTH
City	BROOKLYN PARK
State	MN
ZIP	55443
Phone	763 400-1819
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/9/2024
Certificate Expiration Date	11/8/2026
Facility Type	Assisted Living Facility
Lab Director	ANKUR CHOPRA

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