24D2034618 CLIA NUMBER - EBENEZER HOME CARE

Laboratory Demographics

  • CLIA Code: 24D2034618
  • Facility Name: EBENEZER HOME CARE
  • Facility Address: 2625 PARK AVENUE
    MINNEAPOLIS, MN
    ZIP 55407
  • Facility Phone: 612 871-4574
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KERRY K. COLLINS
  • NPI Number: 1356636344
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2034618
LAB Type Home Health Agency
Facility Name EBENEZER HOME CARE
Street 2625 PARK AVENUE
City MINNEAPOLIS
State MN
ZIP 55407
Phone 612 871-4574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Home Health Agency
Lab Director KERRY K. COLLINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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