24D2296710 CLIA NUMBER - ABRAHAMS BOSOM CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2296710
  • Facility Name: ABRAHAMS BOSOM CARE LLC
  • Facility Address: 305 WINTHROP STREET SOUTH
    SAINT PAUL, MN
    ZIP 55119
  • Facility Phone: 651 428-9170
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ABRAHAM R. WOLFE
  • NPI Number: 1821725672
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2296710
LAB Type Assisted Living Facility
Facility Name ABRAHAMS BOSOM CARE LLC
Street 305 WINTHROP STREET SOUTH
City SAINT PAUL
State MN
ZIP 55119
Phone 651 428-9170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Assisted Living Facility
Lab Director ABRAHAM R. WOLFE

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