24D2055046 CLIA NUMBER - NORTHEAST - OUTREACH

Laboratory Demographics

  • CLIA Code: 24D2055046
  • Facility Name: NORTHEAST - OUTREACH
  • Facility Address: 729 ADAMS STREET NE
    MINNEAPOLIS, MN
    ZIP 55413
  • Facility Phone: 763 592-9414
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: CHRISTINE ZAKI
  • NPI Number: 1205370285
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D2055046
LAB Type Other - GROUP HOME
Facility Name NORTHEAST - OUTREACH
Street 729 ADAMS STREET NE
City MINNEAPOLIS
State MN
ZIP 55413
Phone 763 592-9414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Other - GROUP HOME
Lab Director CHRISTINE ZAKI

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