24D2063259 CLIA NUMBER - ADVANCED MEDICAL HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2063259
  • Facility Name: ADVANCED MEDICAL HOME CARE LLC
  • Facility Address: 206 LITTLE CANADA ROAD E
    LITTLE CANADA, MN
    ZIP 55117
  • Facility Phone: 612 367-6154
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. AUGE
  • NPI Number: 1811358393
  • Taxonomy: 3747P1801X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 24D2063259
LAB Type Home Health Agency
Facility Name ADVANCED MEDICAL HOME CARE LLC
Street 206 LITTLE CANADA ROAD E
City LITTLE CANADA
State MN
ZIP 55117
Phone 612 367-6154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Home Health Agency
Lab Director MICHAEL P. AUGE

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