24D2268808 CLIA NUMBER - MOUNT ZION CARE SERVICES

Laboratory Demographics

  • CLIA Code: 24D2268808
  • Facility Name: MOUNT ZION CARE SERVICES
  • Facility Address: 3751 RIDGE AVENUE
    ANOKA, MN
    ZIP 55303
  • Facility Phone: 515 918-3955
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AZIE J. KHAN
  • NPI Number: 1700519741
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2268808
LAB Type Assisted Living Facility
Facility Name MOUNT ZION CARE SERVICES
Street 3751 RIDGE AVENUE
City ANOKA
State MN
ZIP 55303
Phone 515 918-3955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Assisted Living Facility
Lab Director AZIE J. KHAN

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