24D1074756 CLIA NUMBER - MINNESOTA HOSPICE

Laboratory Demographics

  • CLIA Code: 24D1074756
  • Facility Name: MINNESOTA HOSPICE
  • Facility Address: 17645 JUNIPER PATH SUITE 155
    LAKEVILLE, MN
    ZIP 55044
  • Facility Phone: 952 898-1022
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: THOMAS G. HOREJSI
  • NPI Number: 1891066239
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D1074756
LAB Type Hospice
Facility Name MINNESOTA HOSPICE
Street 17645 JUNIPER PATH SUITE 155
City LAKEVILLE
State MN
ZIP 55044
Phone 952 898-1022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Hospice
Lab Director THOMAS G. HOREJSI

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