24D2078235 CLIA NUMBER - TWIN CITIES NURSING CARE INC

Laboratory Demographics

  • CLIA Code: 24D2078235
  • Facility Name: TWIN CITIES NURSING CARE INC
  • Facility Address: 1635 HAZEL STREET NORTH
    SAINT PAUL, MN
    ZIP 55119
  • Facility Phone: 651 354-8081
  • Facility Type: Other - HOME CARE
  • Facility Type: Waiver
  • Lab Director: MAIXIA VANG
  • NPI Number: 1851797443
  • Taxonomy: 163WH0200X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 24D2078235
LAB Type Other - HOME CARE
Facility Name TWIN CITIES NURSING CARE INC
Street 1635 HAZEL STREET NORTH
City SAINT PAUL
State MN
ZIP 55119
Phone 651 354-8081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Other - HOME CARE
Lab Director MAIXIA VANG

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