24D2283288 CLIA NUMBER - SUNSHINE ASSISTED LIVING LLC

Laboratory Demographics

CLIA Number: 24D2283288

Facility Name: SUNSHINE ASSISTED LIVING LLC

Facility Address:
9517 CHICAGO AVE S
BLOOMINGTON, MN
ZIP 55420
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Facility Phone Number: 952 831-1111

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1720624810

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	24D2283288
LAB Type	Assisted Living Facility
Facility Name	SUNSHINE ASSISTED LIVING LLC
Street	9517 CHICAGO AVE S
City	BLOOMINGTON
State	MN
ZIP	55420
Phone	952 831-1111
CertificateType	4
CertificateEffectiveDate	6/6/2023
CertificateExpirationDate	6/5/2025
FacilityType	Waiver

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