24D2201561 CLIA NUMBER - CARESTAY HOMES LLC

Laboratory Demographics

  • CLIA Code: 24D2201561
  • Facility Name: CARESTAY HOMES LLC
  • Facility Address: 7381 MEMORY LANE NE
    FRIDLEY, MN
    ZIP 55432
  • Facility Phone: 612 230-1238
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ABDULRAZAQ A. JIBAR
  • NPI Number: 1083209472
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2201561
LAB Type Assisted Living Facility
Facility Name CARESTAY HOMES LLC
Street 7381 MEMORY LANE NE
City FRIDLEY
State MN
ZIP 55432
Phone 612 230-1238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Assisted Living Facility
Lab Director ABDULRAZAQ A. JIBAR

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