24D2258983 CLIA NUMBER - DAYSTAR HOMECARE LLC

Laboratory Demographics

  • CLIA Code: 24D2258983
  • Facility Name: DAYSTAR HOMECARE LLC
  • Facility Address: 12928 BLUEBIRD ST NW
    COON RAPIDS, MN
    ZIP 55448
  • Facility Phone: 763 300-3433
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: IRENE Y. ONSOMU
  • NPI Number: 1588311997
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2258983
LAB Type Assisted Living Facility
Facility Name DAYSTAR HOMECARE LLC
Street 12928 BLUEBIRD ST NW
City COON RAPIDS
State MN
ZIP 55448
Phone 763 300-3433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Assisted Living Facility
Lab Director IRENE Y. ONSOMU

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