24D2168992 CLIA NUMBER - 24 - SEVEN HOME CARE INC

Laboratory Demographics

  • CLIA Code: 24D2168992
  • Facility Name: 24 - SEVEN HOME CARE INC
  • Facility Address: 9120 CAMBRIDGE AVENUE
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 612 886-2828
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: OKE J. EWHRUDJAKPOR
  • NPI Number: 1467916205
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2168992
LAB Type Home Health Agency
Facility Name 24 - SEVEN HOME CARE INC
Street 9120 CAMBRIDGE AVENUE
City BROOKLYN PARK
State MN
ZIP 55443
Phone 612 886-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Home Health Agency
Lab Director OKE J. EWHRUDJAKPOR

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