24D1088676 CLIA NUMBER - SUPERIOR HOME CARE NURSING LLC

Laboratory Demographics

  • CLIA Code: 24D1088676
  • Facility Name: SUPERIOR HOME CARE NURSING LLC
  • Facility Address: 10603 - 165TH STREET WEST
    LAKEVILLE, MN
    ZIP 55044
  • Facility Phone: 952 898-5400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ERICA L. KURRLE
  • NPI Number: 1245604453
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1088676
LAB Type Home Health Agency
Facility Name SUPERIOR HOME CARE NURSING LLC
Street 10603 - 165TH STREET WEST
City LAKEVILLE
State MN
ZIP 55044
Phone 952 898-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Home Health Agency
Lab Director ERICA L. KURRLE

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