24D2163819 CLIA NUMBER - TWIN CITIES LOYAL HOLISTIC CARE

Laboratory Demographics

  • CLIA Code: 24D2163819
  • Facility Name: TWIN CITIES LOYAL HOLISTIC CARE
  • Facility Address: 1821 UNIVERSITY AVE W SUITE 291
    SAINT PAUL, MN
    ZIP 55104
  • Facility Phone: 612 227-6423
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KHALIF M. FALAS
  • NPI Number: 1881153104
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2163819
LAB Type Home Health Agency
Facility Name TWIN CITIES LOYAL HOLISTIC CARE
Street 1821 UNIVERSITY AVE W SUITE 291
City SAINT PAUL
State MN
ZIP 55104
Phone 612 227-6423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Home Health Agency
Lab Director KHALIF M. FALAS

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