24D2079748 CLIA NUMBER - ULTIMATE HOME CARE

Laboratory Demographics

  • CLIA Code: 24D2079748
  • Facility Name: ULTIMATE HOME CARE
  • Facility Address: 7040 LAKELAND AVE NORTH SUITE 208
    BROOKLYN PARK, MN
    ZIP 55428
  • Facility Phone: (763) 560-9890
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALFRED A. APATA

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CLIA Record

Field Name Field Value
CLIA Number 24D2079748
LAB Type Home Health Agency
Facility Name ULTIMATE HOME CARE
Street 7040 LAKELAND AVE NORTH SUITE 208
City BROOKLYN PARK
State MN
ZIP 55428
Phone 7635609890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Home Health Agency
Lab Director ALFRED A. APATA

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This page was last updated on: 5/18/2026