24D2265248 CLIA NUMBER - CHEZ MICHAEL CARE-REGENT

Laboratory Demographics

  • CLIA Code: 24D2265248
  • Facility Name: CHEZ MICHAEL CARE-REGENT
  • Facility Address: 5748 REGENT AVENUE NORTH
    CRYSTAL, MN
    ZIP 55429
  • Facility Phone: 612 888-3515
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DHIRJA KARKI NIRAULA
  • NPI Number: 1992450324
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2265248
LAB Type Assisted Living Facility
Facility Name CHEZ MICHAEL CARE-REGENT
Street 5748 REGENT AVENUE NORTH
City CRYSTAL
State MN
ZIP 55429
Phone 612 888-3515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Assisted Living Facility
Lab Director DHIRJA KARKI NIRAULA

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