24D2116793 CLIA NUMBER - NOBLE HOME CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 24D2116793
  • Facility Name: NOBLE HOME CARE SERVICES LLC
  • Facility Address: 7400 METRO BLVD SUITE #214
    EDINA, MN
    ZIP 55439
  • Facility Phone: 612 245-9687
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FARDOWSA H. MOHAMUD
  • NPI Number: 1063884492
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2116793
LAB Type Home Health Agency
Facility Name NOBLE HOME CARE SERVICES LLC
Street 7400 METRO BLVD SUITE #214
City EDINA
State MN
ZIP 55439
Phone 612 245-9687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Home Health Agency
Lab Director FARDOWSA H. MOHAMUD

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