24D2289106 CLIA NUMBER - KAYLI RESIDENCE LLC

Laboratory Demographics

  • CLIA Code: 24D2289106
  • Facility Name: KAYLI RESIDENCE LLC
  • Facility Address: 8256 SCOTT AVENUE NORTH
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 678 300-1300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: VICTORIA MUNYEKA
  • NPI Number: 1811688971
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2289106
LAB Type Assisted Living Facility
Facility Name KAYLI RESIDENCE LLC
Street 8256 SCOTT AVENUE NORTH
City BROOKLYN PARK
State MN
ZIP 55443
Phone 678 300-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Assisted Living Facility
Lab Director VICTORIA MUNYEKA

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