24D1052154 CLIA NUMBER - IN-HOME LAB CONNECTION INC

Laboratory Demographics

  • CLIA Code: 24D1052154
  • Facility Name: IN-HOME LAB CONNECTION INC
  • Facility Address: 4064 OLIVINE DRIVE
    EAGAN, MN
    ZIP 55122
  • Facility Phone: 952 842-9000
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KATHLEEN J. VALUSEK
  • NPI Number: 1215046305
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1052154
LAB Type Home Health Agency
Facility Name IN-HOME LAB CONNECTION INC
Street 4064 OLIVINE DRIVE
City EAGAN
State MN
ZIP 55122
Phone 952 842-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Home Health Agency
Lab Director KATHLEEN J. VALUSEK

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