24D2179690 CLIA NUMBER - VISION2020 GROUP HOMES LLC

Laboratory Demographics

  • CLIA Code: 24D2179690
  • Facility Name: VISION2020 GROUP HOMES LLC
  • Facility Address: 1805 15TH AVE S
    MINNEAPOLIS, MN
    ZIP 55404
  • Facility Phone: 612 998-0361
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FUAD A. AHMED
  • NPI Number: 1366067746
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2179690
LAB Type Home Health Agency
Facility Name VISION2020 GROUP HOMES LLC
Street 1805 15TH AVE S
City MINNEAPOLIS
State MN
ZIP 55404
Phone 612 998-0361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Home Health Agency
Lab Director FUAD A. AHMED

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