24D2202521 CLIA NUMBER - TENDER CARE PROVIDERS LLC

Laboratory Demographics

  • CLIA Code: 24D2202521
  • Facility Name: TENDER CARE PROVIDERS LLC
  • Facility Address: 1794 SWITCHGRASS CIRCLE
    SHAKOPEE, MN
    ZIP 55379
  • Facility Phone: 612 203-5847
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AHMED B. MOHAMED
  • NPI Number: 1639770399
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2202521
LAB Type Assisted Living Facility
Facility Name TENDER CARE PROVIDERS LLC
Street 1794 SWITCHGRASS CIRCLE
City SHAKOPEE
State MN
ZIP 55379
Phone 612 203-5847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Assisted Living Facility
Lab Director AHMED B. MOHAMED

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