24D2304796 CLIA NUMBER - KEY LIVING LLC

Laboratory Demographics

  • CLIA Code: 24D2304796
  • Facility Name: KEY LIVING LLC
  • Facility Address: 842 102ND LN NE
    BLAINE, MN
    ZIP 55434
  • Facility Phone: 763 710-4576
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EMMANUEL GODWIN
  • NPI Number: 1144925561
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2304796
LAB Type Assisted Living Facility
Facility Name KEY LIVING LLC
Street 842 102ND LN NE
City BLAINE
State MN
ZIP 55434
Phone 763 710-4576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Assisted Living Facility
Lab Director EMMANUEL GODWIN

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