24D1026553 CLIA NUMBER - FREMONT COMMUNITY HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 24D1026553
  • Facility Name: FREMONT COMMUNITY HEALTH SERVICES INC
  • Facility Address: 3300 FREMONT AVENUE N
    MINNEAPOLIS, MN
    ZIP 55412
  • Facility Phone: 612 874-2449
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RAHSHANA PRICE-ISUK
  • NPI Number: 1386682078
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1026553
LAB Type Other
Facility Name FREMONT COMMUNITY HEALTH SERVICES INC
Street 3300 FREMONT AVENUE N
City MINNEAPOLIS
State MN
ZIP 55412
Phone 612 874-2449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Other
Lab Director RAHSHANA PRICE-ISUK

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