24D1016547 CLIA NUMBER - SUMMIT HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 24D1016547
  • Facility Name: SUMMIT HEALTHCARE INC
  • Facility Address: 3018 EAST LAKE STREET
    MINNEAPOLIS, MN
    ZIP 55406
  • Facility Phone: 651 645-9341
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MAXWELL AFORO
  • NPI Number: 1194969287
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1016547
LAB Type Home Health Agency
Facility Name SUMMIT HEALTHCARE INC
Street 3018 EAST LAKE STREET
City MINNEAPOLIS
State MN
ZIP 55406
Phone 651 645-9341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Home Health Agency
Lab Director MAXWELL AFORO

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