24D2137372 CLIA NUMBER - ASSURED HEALTH LLC

Laboratory Demographics

  • CLIA Code: 24D2137372
  • Facility Name: ASSURED HEALTH LLC
  • Facility Address: 8421 WEST BROADWAY AVE
    BROOKLYN PARK, MN
    ZIP 55445
  • Facility Phone: 952 212-0911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALTER O. NYABERE
  • NPI Number: 1316473382
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2137372
LAB Type Physician Office
Facility Name ASSURED HEALTH LLC
Street 8421 WEST BROADWAY AVE
City BROOKLYN PARK
State MN
ZIP 55445
Phone 952 212-0911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director WALTER O. NYABERE

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