24D2132468 CLIA NUMBER - HOLISTIC HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2132468
  • Facility Name: HOLISTIC HOME CARE LLC
  • Facility Address: 2321 CASCADE PLAZA SOUTH
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 651 283-9564
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LYNDA D. ABAGI
  • NPI Number: 1174061493
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2132468
LAB Type Home Health Agency
Facility Name HOLISTIC HOME CARE LLC
Street 2321 CASCADE PLAZA SOUTH
City WOODBURY
State MN
ZIP 55125
Phone 651 283-9564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Home Health Agency
Lab Director LYNDA D. ABAGI

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