24D2167038 CLIA NUMBER - ACTIVE DAY OF MINNETONKA

Laboratory Demographics

  • CLIA Code: 24D2167038
  • Facility Name: ACTIVE DAY OF MINNETONKA
  • Facility Address: 10937 BREN RD E
    MINNETONKA, MN
    ZIP 55343
  • Facility Phone: 215 642-6269
  • Facility Type: Other - ADULT DAY CARE
  • Facility Type: Waiver
  • Lab Director: VLADIMIR BEGUN
  • NPI Number: 1811490220
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2167038
LAB Type Other - ADULT DAY CARE
Facility Name ACTIVE DAY OF MINNETONKA
Street 10937 BREN RD E
City MINNETONKA
State MN
ZIP 55343
Phone 215 642-6269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2023
Certificate Expiration Date 5/30/2025
Facility Type Other - ADULT DAY CARE
Lab Director VLADIMIR BEGUN

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This page was last updated on: 3/20/2025