24D2072898 CLIA NUMBER - OLIDIA CARE INC

Laboratory Demographics

  • CLIA Code: 24D2072898
  • Facility Name: OLIDIA CARE INC
  • Facility Address: 4105 85TH AVE NORTH
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 612 703-6144
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LYDIA B. NKWONKAM
  • NPI Number: 1083808208
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2072898
LAB Type Home Health Agency
Facility Name OLIDIA CARE INC
Street 4105 85TH AVE NORTH
City BROOKLYN PARK
State MN
ZIP 55443
Phone 612 703-6144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Home Health Agency
Lab Director LYDIA B. NKWONKAM

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