24D2099378 CLIA NUMBER - ABODE HOSPICE AND HOMECARE OF MN, LLC

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Laboratory Demographics

CLIA Number: 24D2099378

Facility Name: ABODE HOSPICE AND HOMECARE OF MN, LLC

Facility Address:
7616 CURRELL BLVD SUITE 175
WOODBURY, MN
ZIP 55125
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Facility Phone Number: 651 344-1040

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1538552757

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	24D2099378
LAB Type	Hospice
Facility Name	ABODE HOSPICE AND HOMECARE OF MN, LLC
Street	7616 CURRELL BLVD SUITE 175
City	WOODBURY
State	MN
ZIP	55125
Phone	651 344-1040
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024