24D1046877 CLIA NUMBER - GOLDEN NEST, LLC

Laboratory Demographics

  • CLIA Code: 24D1046877
  • Facility Name: GOLDEN NEST, LLC
  • Facility Address: 1918 19TH AVENUE NE
    MINNEAPOLIS, MN
    ZIP 55418
  • Facility Phone: 651 755-2836
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANGELA OKEKE
  • NPI Number: 1578648069
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1046877
LAB Type Home Health Agency
Facility Name GOLDEN NEST, LLC
Street 1918 19TH AVENUE NE
City MINNEAPOLIS
State MN
ZIP 55418
Phone 651 755-2836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Home Health Agency
Lab Director ANGELA OKEKE

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