24D2325949 CLIA NUMBER - LUXE HOME RESIDENTIAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 24D2325949
  • Facility Name: LUXE HOME RESIDENTIAL SERVICES LLC
  • Facility Address: 1144 361/2 AVE NE
    MINNEAPOLIS, MN
    ZIP 55418
  • Facility Phone: 612 404-6590
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMAL MOHAMUD
  • NPI Number: 1891512901
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2325949
LAB Type Assisted Living Facility
Facility Name LUXE HOME RESIDENTIAL SERVICES LLC
Street 1144 361/2 AVE NE
City MINNEAPOLIS
State MN
ZIP 55418
Phone 612 404-6590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Assisted Living Facility
Lab Director AMAL MOHAMUD

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