24D1105221 CLIA NUMBER - RIDGEVIEW HOME HEALTH SERVICES/HME CARE

Laboratory Demographics

  • CLIA Code: 24D1105221
  • Facility Name: RIDGEVIEW HOME HEALTH SERVICES/HME CARE
  • Facility Address: 501 SOUTH MAPLE STREET - SUITE 1
    WACONIA, MN
    ZIP 55387
  • Facility Phone: 952 442-6030
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARY FARLOW
  • NPI Number: 1104954445
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1105221
LAB Type Home Health Agency
Facility Name RIDGEVIEW HOME HEALTH SERVICES/HME CARE
Street 501 SOUTH MAPLE STREET - SUITE 1
City WACONIA
State MN
ZIP 55387
Phone 952 442-6030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Home Health Agency
Lab Director MARY FARLOW

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