24D1085847 CLIA NUMBER - ECUMEN DULUTH THE SHORES

Laboratory Demographics

  • CLIA Code: 24D1085847
  • Facility Name: ECUMEN DULUTH THE SHORES
  • Facility Address: 4000 LONDON ROAD
    DULUTH, MN
    ZIP 55804
  • Facility Phone: 218 625-8280
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMI HALEY
  • NPI Number: 1831115732
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1085847
LAB Type Home Health Agency
Facility Name ECUMEN DULUTH THE SHORES
Street 4000 LONDON ROAD
City DULUTH
State MN
ZIP 55804
Phone 218 625-8280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Home Health Agency
Lab Director TAMI HALEY

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