24D2088736 CLIA NUMBER - ST JOHN HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2088736
  • Facility Name: ST JOHN HOME CARE LLC
  • Facility Address: 1502 ARCHWOOD ROAD
    MINNETONKA, MN
    ZIP 55305
  • Facility Phone: 952 300-1067
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MOPELOLA AKINLOYE
  • NPI Number: 1104120302
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2088736
LAB Type Assisted Living Facility
Facility Name ST JOHN HOME CARE LLC
Street 1502 ARCHWOOD ROAD
City MINNETONKA
State MN
ZIP 55305
Phone 952 300-1067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Assisted Living Facility
Lab Director MOPELOLA AKINLOYE

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