24D2212322 CLIA NUMBER - ARKHAVEN HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 24D2212322
  • Facility Name: ARKHAVEN HOME CARE, LLC
  • Facility Address: 2315 WESTERN AVE NOTH
    ROSEVILLE, MN
    ZIP 55113
  • Facility Phone: 651 478-6080
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: YAHYA A. ALI
  • NPI Number: 1447868468
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2212322
LAB Type Assisted Living Facility
Facility Name ARKHAVEN HOME CARE, LLC
Street 2315 WESTERN AVE NOTH
City ROSEVILLE
State MN
ZIP 55113
Phone 651 478-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Assisted Living Facility
Lab Director YAHYA A. ALI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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