24D0651391 CLIA NUMBER - VICTORY HEALTH & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 24D0651391
  • Facility Name: VICTORY HEALTH & REHABILITATION CENTER
  • Facility Address: 512 49TH AVE NORTH
    MINNEAPOLIS, MN
    ZIP 55430
  • Facility Phone: 612 529-7747
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RAZAQ ADEDAYO
  • NPI Number: 1144707811
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0651391
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VICTORY HEALTH & REHABILITATION CENTER
Street 512 49TH AVE NORTH
City MINNEAPOLIS
State MN
ZIP 55430
Phone 612 529-7747
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 Skilled Nursing Facility/Nursing Facility
Lab Director RAZAQ ADEDAYO

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