24D2283288 CLIA NUMBER - SUNSHINE ASSISTED LIVING LLC

Laboratory Demographics

  • CLIA Code: 24D2283288
  • Facility Name: SUNSHINE ASSISTED LIVING LLC
  • Facility Address: 9517 CHICAGO AVE S
    BLOOMINGTON, MN
    ZIP 55420
  • Facility Phone: 952 831-1111
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NIMCORISE M. HASHI
  • NPI Number: 1720624810
  • Taxonomy: 310400000X - Assisted Living Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Assisted Living Facility
Lab Director NIMCORISE M. HASHI

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