24D2293543 CLIA NUMBER - AGAPECARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 24D2293543
  • Facility Name: AGAPECARE SERVICES LLC
  • Facility Address: 3818 61ST AVE NORTH
    BROOKLYN CENTER, MN
    ZIP 55429
  • Facility Phone: 610 220-6700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: OBWAYA PENNINAH
  • NPI Number: 1659942993
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2293543
LAB Type Assisted Living Facility
Facility Name AGAPECARE SERVICES LLC
Street 3818 61ST AVE NORTH
City BROOKLYN CENTER
State MN
ZIP 55429
Phone 610 220-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Assisted Living Facility
Lab Director OBWAYA PENNINAH

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