24D2127977 CLIA NUMBER - THOMAS, MARY T ASSOC INC

Laboratory Demographics

  • CLIA Code: 24D2127977
  • Facility Name: THOMAS, MARY T ASSOC INC
  • Facility Address: 11025 THOMAS AVE S
    BLOOMINGTON, MN
    ZIP 55431
  • Facility Phone: 952 888-4740
  • Facility Type: Other - ADULT FOSTER CARE CORPORA
  • Facility Type: Waiver
  • Lab Director: CHRISTINE ZAKI
  • NPI Number: 1619753704
  • Taxonomy: 2251X0800X - Physical Therapist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2127977
LAB Type Other - ADULT FOSTER CARE CORPORA
Facility Name THOMAS, MARY T ASSOC INC
Street 11025 THOMAS AVE S
City BLOOMINGTON
State MN
ZIP 55431
Phone 952 888-4740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Other - ADULT FOSTER CARE CORPORA
Lab Director CHRISTINE ZAKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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