24D2319176 CLIA NUMBER - TRIPLE B HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2319176
  • Facility Name: TRIPLE B HOME CARE LLC
  • Facility Address: 7025 QUAIL AVE N
    BROOKLYN CENTER, MN
    ZIP 55429
  • Facility Phone: 763 447-1062
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MOTUNRAYO N. FANIYI
  • NPI Number: 1578376000
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2319176
LAB Type Assisted Living Facility
Facility Name TRIPLE B HOME CARE LLC
Street 7025 QUAIL AVE N
City BROOKLYN CENTER
State MN
ZIP 55429
Phone 763 447-1062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Assisted Living Facility
Lab Director MOTUNRAYO N. FANIYI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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