24D2301446 CLIA NUMBER - MAGNANIMOUS LIVING

Laboratory Demographics

  • CLIA Code: 24D2301446
  • Facility Name: MAGNANIMOUS LIVING
  • Facility Address: 920 MILDRED DR
    RICHFIELD, MN
    ZIP 55423
  • Facility Phone: 612 532-6966
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SAADIA S. ANGELL
  • NPI Number: 1982442539
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2301446
LAB Type Assisted Living Facility
Facility Name MAGNANIMOUS LIVING
Street 920 MILDRED DR
City RICHFIELD
State MN
ZIP 55423
Phone 612 532-6966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Assisted Living Facility
Lab Director SAADIA S. ANGELL

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