24D2298167 CLIA NUMBER - AZALEA HOMES LLC

Laboratory Demographics

  • CLIA Code: 24D2298167
  • Facility Name: AZALEA HOMES LLC
  • Facility Address: 5857 PERRY AVE N
    CRYSTAL, MN
    ZIP 55429
  • Facility Phone: 763 321-4417
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMED J. KROMAH
  • NPI Number: 1801501093
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2298167
LAB Type Assisted Living Facility
Facility Name AZALEA HOMES LLC
Street 5857 PERRY AVE N
City CRYSTAL
State MN
ZIP 55429
Phone 763 321-4417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Assisted Living Facility
Lab Director MOHAMMED J. KROMAH

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