24D2245794 CLIA NUMBER - SUITE LIVING OF BURNSVILLE

Laboratory Demographics

CLIA Number: 24D2245794

Facility Name: SUITE LIVING OF BURNSVILLE

Facility Address:
1880 134TH ST E
BURNSVILLE, MN
ZIP 55337
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Facility Phone Number: 952 999-7155

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1306410741

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D2245794
LAB Type	Assisted Living Facility
Facility Name	SUITE LIVING OF BURNSVILLE
Street	1880 134TH ST E
City	BURNSVILLE
State	MN
ZIP	55337
Phone	952 999-7155
CertificateType	4
CertificateEffectiveDate	12/16/2023
CertificateExpirationDate	12/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024