24D2297260 CLIA NUMBER - ASSOCIATE HEALTHCARE LLC

Laboratory Demographics

CLIA Number: 24D2297260

Facility Name: ASSOCIATE HEALTHCARE LLC

Facility Address:
3308 74TH CIRCLE N
BROOKLYN PARK, MN
ZIP 55443
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Facility Phone Number: 763 657-1455

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1518673417

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D2297260
LAB Type	Assisted Living Facility
Facility Name	ASSOCIATE HEALTHCARE LLC
Street	3308 74TH CIRCLE N
City	BROOKLYN PARK
State	MN
ZIP	55443
Phone	763 657-1455
CertificateType	4
CertificateEffectiveDate	1/12/2024
CertificateExpirationDate	1/11/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024