24D2173770 CLIA NUMBER - EDEN PATHWAYS

Laboratory Demographics

  • CLIA Code: 24D2173770
  • Facility Name: EDEN PATHWAYS
  • Facility Address: 1001 TWELVE OAKS CENTER DRIVE SUITE #1005
    WAYZATA, MN
    ZIP 55391
  • Facility Phone: 952 658-8140
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROXANEE E. PIERRE
  • NPI Number: 1508403833
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2173770
LAB Type Home Health Agency
Facility Name EDEN PATHWAYS
Street 1001 TWELVE OAKS CENTER DRIVE SUITE #1005
City WAYZATA
State MN
ZIP 55391
Phone 952 658-8140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Home Health Agency
Lab Director ROXANEE E. PIERRE

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