24D2309213 CLIA NUMBER - 1ST ALTERNATIVE CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2309213
  • Facility Name: 1ST ALTERNATIVE CARE LLC
  • Facility Address: 2272 14TH AVE E
    NORTH SAINT PAUL, MN
    ZIP 55109
  • Facility Phone: 801 657-0605
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NADA MOHAMED
  • NPI Number: 1164263216
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2309213
LAB Type Assisted Living Facility
Facility Name 1ST ALTERNATIVE CARE LLC
Street 2272 14TH AVE E
City NORTH SAINT PAUL
State MN
ZIP 55109
Phone 801 657-0605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Assisted Living Facility
Lab Director NADA MOHAMED

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