24D2271845 CLIA NUMBER - LIVE WELL MN LLC, DBA, LIVE WELL MN HOME HEALTHCARE

Laboratory Demographics

  • CLIA Code: 24D2271845
  • Facility Name: LIVE WELL MN LLC, DBA, LIVE WELL MN HOME HEALTHCARE
  • Facility Address: 7780 LONG LAKE ROAD
    MOUNDS VIEW, MN
    ZIP 55112
  • Facility Phone: 612 460-5094
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NOOR HAJI-MUNYE
  • NPI Number: 1225706799
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2271845
LAB Type Assisted Living Facility
Facility Name LIVE WELL MN LLC, DBA, LIVE WELL MN HOME HEALTHCARE
Street 7780 LONG LAKE ROAD
City MOUNDS VIEW
State MN
ZIP 55112
Phone 612 460-5094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Assisted Living Facility
Lab Director NOOR HAJI-MUNYE

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