24D2311923 CLIA NUMBER - 3D INNOVATIVE CARES

Laboratory Demographics

  • CLIA Code: 24D2311923
  • Facility Name: 3D INNOVATIVE CARES
  • Facility Address: 1924 SUGARLOAF TRAIL
    BROOKLYN PARK, MN
    ZIP 55444
  • Facility Phone: 310 745-6387
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TOYIN ADEREMI-ATA
  • NPI Number: 1124881867
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2311923
LAB Type Assisted Living Facility
Facility Name 3D INNOVATIVE CARES
Street 1924 SUGARLOAF TRAIL
City BROOKLYN PARK
State MN
ZIP 55444
Phone 310 745-6387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Assisted Living Facility
Lab Director TOYIN ADEREMI-ATA

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