24D2184066 CLIA NUMBER - TRANSFORMATION HOUSE

Laboratory Demographics

  • CLIA Code: 24D2184066
  • Facility Name: TRANSFORMATION HOUSE
  • Facility Address: 1410 S FERRY ROAD
    ANOKA, MN
    ZIP 55303
  • Facility Phone: 763 427-7155
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: CRISTIAN CHIESA
  • NPI Number: 1114143989
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2184066
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name TRANSFORMATION HOUSE
Street 1410 S FERRY ROAD
City ANOKA
State MN
ZIP 55303
Phone 763 427-7155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director CRISTIAN CHIESA

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