24D2271728 CLIA NUMBER - PIONEER HOME CARE LIMITED

Laboratory Demographics

CLIA Number: 24D2271728

Facility Name: PIONEER HOME CARE LIMITED

Facility Address:
5109 WEST OLD SHAKOPEE RD
BLOOMINGTON, MN
ZIP 55437
Get Directions

Facility Phone Number: 469 268-5045

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1447903117

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	24D2271728
LAB Type	Assisted Living Facility
Facility Name	PIONEER HOME CARE LIMITED
Street	5109 WEST OLD SHAKOPEE RD
City	BLOOMINGTON
State	MN
ZIP	55437
Phone	469 268-5045
CertificateType	4
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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