24D1095383 CLIA NUMBER - REM HENNEPIN - MINNETONKA

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Field Name	Field Value
CLIA Number	24D1095383
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	REM HENNEPIN - MINNETONKA
Street	21 WESTWOOD ROAD
City	MINNETONKA
State	MN
ZIP	55305
Phone	952 541-9421
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/6/2025
Certificate Expiration Date	2/5/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	COURTNEY E. MOTYLINSKI

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