24D1061756 CLIA NUMBER - HEALTHLINE LLC DBA HEALTHLINE HOMECARE

Laboratory Demographics

  • CLIA Code: 24D1061756
  • Facility Name: HEALTHLINE LLC DBA HEALTHLINE HOMECARE
  • Facility Address: 1101 EAST 37TH STREET SUITE 27
    HIBBING, MN
    ZIP 55746
  • Facility Phone: 218 262-6982
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TRACY M. SEVERSON
  • NPI Number: 1992782239
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1061756
LAB Type Home Health Agency
Facility Name HEALTHLINE LLC DBA HEALTHLINE HOMECARE
Street 1101 EAST 37TH STREET SUITE 27
City HIBBING
State MN
ZIP 55746
Phone 218 262-6982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Home Health Agency
Lab Director TRACY M. SEVERSON

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