24D1086815 CLIA NUMBER - ALLIANCE HHC + NURSING SERVICES LLC

Laboratory Demographics

  • CLIA Code: 24D1086815
  • Facility Name: ALLIANCE HHC + NURSING SERVICES LLC
  • Facility Address: 4725 OLSON MEMORIAL HWY #200
    GOLDEN VALLEY, MN
    ZIP 55422
  • Facility Phone: 763 208-6295
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROBIN M. NYANGENA
  • NPI Number: 1558542464
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1086815
LAB Type Home Health Agency
Facility Name ALLIANCE HHC + NURSING SERVICES LLC
Street 4725 OLSON MEMORIAL HWY #200
City GOLDEN VALLEY
State MN
ZIP 55422
Phone 763 208-6295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Home Health Agency
Lab Director ROBIN M. NYANGENA

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