24D2295773 CLIA NUMBER - ALLY GROUP HOMES LLC

Laboratory Demographics

  • CLIA Code: 24D2295773
  • Facility Name: ALLY GROUP HOMES LLC
  • Facility Address: 9724 QUEEN RD
    BLOOMINGTON, MN
    ZIP 55431
  • Facility Phone: 612 598-4311
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMAL A. AHMED
  • NPI Number: 1831758929
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2295773
LAB Type Assisted Living Facility
Facility Name ALLY GROUP HOMES LLC
Street 9724 QUEEN RD
City BLOOMINGTON
State MN
ZIP 55431
Phone 612 598-4311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Assisted Living Facility
Lab Director AMAL A. AHMED

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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