24D2186047 CLIA NUMBER - ROYAL CROWN HOMES

Laboratory Demographics

  • CLIA Code: 24D2186047
  • Facility Name: ROYAL CROWN HOMES
  • Facility Address: 12209 PARKWOOD PLACE
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 952 800-4733
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROBINSON R. NGANYWA
  • NPI Number: 1518470525
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2186047
LAB Type Home Health Agency
Facility Name ROYAL CROWN HOMES
Street 12209 PARKWOOD PLACE
City BURNSVILLE
State MN
ZIP 55337
Phone 952 800-4733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Home Health Agency
Lab Director ROBINSON R. NGANYWA

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