24D2296422 CLIA NUMBER - LIVE WELL MN LLC, DBA, LIVE WELL MN HOME HEALTHCARE

Laboratory Demographics

  • CLIA Code: 24D2296422
  • Facility Name: LIVE WELL MN LLC, DBA, LIVE WELL MN HOME HEALTHCARE
  • Facility Address: 8600 PARK AVE S
    BLOOMINGTON, MN
    ZIP 55420
  • Facility Phone: 612 460-5094
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NOOR HAJI-MUNYE
  • NPI Number: 1235746397
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2296422
LAB Type Assisted Living Facility
Facility Name LIVE WELL MN LLC, DBA, LIVE WELL MN HOME HEALTHCARE
Street 8600 PARK AVE S
City BLOOMINGTON
State MN
ZIP 55420
Phone 612 460-5094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Assisted Living Facility
Lab Director NOOR HAJI-MUNYE

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This page was last updated on: 3/20/2025