24D0651217 CLIA NUMBER - AXIS MINNESOTA INC

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Field Name	Field Value
CLIA Number	24D0651217
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	AXIS MINNESOTA INC
Street	2345 RICE STREET SUITE 112
City	ROSEVILLE
State	MN
ZIP	55113
Phone	6517745940
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/1/2024
Certificate Expiration Date	8/31/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	NANCY BRADY

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This page was last updated on: 5/18/2026