24D2296986 CLIA NUMBER - KEKELI CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D2296986
  • Facility Name: KEKELI CARE CENTER
  • Facility Address: 18315 82ND PLACE NORTH
    MAPLE GROVE, MN
    ZIP 55311
  • Facility Phone: 952 955-7502
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: THOMASIA NAYA
  • NPI Number: 1376310193
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2296986
LAB Type Assisted Living Facility
Facility Name KEKELI CARE CENTER
Street 18315 82ND PLACE NORTH
City MAPLE GROVE
State MN
ZIP 55311
Phone 952 955-7502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Assisted Living Facility
Lab Director THOMASIA NAYA

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