24D2176791 CLIA NUMBER - MELKEZEDEK CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2176791
  • Facility Name: MELKEZEDEK CARE LLC
  • Facility Address: 8501 77TH AVE
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 763 269-9313
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MEL MELCHIZEDEK
  • NPI Number: 1952873630
  • Taxonomy: 163WH0200X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 24D2176791
LAB Type Home Health Agency
Facility Name MELKEZEDEK CARE LLC
Street 8501 77TH AVE
City BROOKLYN PARK
State MN
ZIP 55443
Phone 763 269-9313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2023
Certificate Expiration Date 12/23/2025
Facility Type Home Health Agency
Lab Director MEL MELCHIZEDEK

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