24D2076448 CLIA NUMBER - SEFERTT HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2076448
  • Facility Name: SEFERTT HEALTH CARE LLC
  • Facility Address: 3621 85TH AVE NORTH SUITE 103
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 651 278-1144
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MATHEW O. AMUSAN
  • NPI Number: 1801178983
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2076448
LAB Type Home Health Agency
Facility Name SEFERTT HEALTH CARE LLC
Street 3621 85TH AVE NORTH SUITE 103
City BROOKLYN PARK
State MN
ZIP 55443
Phone 651 278-1144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Home Health Agency
Lab Director MATHEW O. AMUSAN

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This page was last updated on: 3/20/2025