24D2314910 CLIA NUMBER - PLEASANT LIGHT ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D2314910
  • Facility Name: PLEASANT LIGHT ASSISTED LIVING
  • Facility Address: 7765 DALEVIEW
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 952 406-8951
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSPHAT OMARI
  • NPI Number: 1073153664
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2314910
LAB Type Assisted Living Facility
Facility Name PLEASANT LIGHT ASSISTED LIVING
Street 7765 DALEVIEW
City BROOKLYN PARK
State MN
ZIP 55443
Phone 952 406-8951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Assisted Living Facility
Lab Director JOSPHAT OMARI

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