24D2301747 CLIA NUMBER - PLEASANT ASSISTED LIVING, LLC

Laboratory Demographics

  • CLIA Code: 24D2301747
  • Facility Name: PLEASANT ASSISTED LIVING, LLC
  • Facility Address: 7531 BRUNSWICK AVENUE NORTH
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 763 208-7364
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BALLAH Z. DWAPU
  • NPI Number: 1366208704
  • Taxonomy: 3104A0630X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2301747
LAB Type Assisted Living Facility
Facility Name PLEASANT ASSISTED LIVING, LLC
Street 7531 BRUNSWICK AVENUE NORTH
City BROOKLYN PARK
State MN
ZIP 55443
Phone 763 208-7364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Assisted Living Facility
Lab Director BALLAH Z. DWAPU

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