24D2326166 CLIA NUMBER - ILZA ASSISTED LIVING FACILITY LLC

Laboratory Demographics

  • CLIA Code: 24D2326166
  • Facility Name: ILZA ASSISTED LIVING FACILITY LLC
  • Facility Address: 118 KNOLL CIRCLE EAST
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 952 652-1484
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ABDIMAHAD SANTUR
  • NPI Number: 1396577300
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2326166
LAB Type Assisted Living Facility
Facility Name ILZA ASSISTED LIVING FACILITY LLC
Street 118 KNOLL CIRCLE EAST
City BURNSVILLE
State MN
ZIP 55337
Phone 952 652-1484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Assisted Living Facility
Lab Director ABDIMAHAD SANTUR

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