24D2190461 CLIA NUMBER - WELLNESS GROUP HOME CORPORATION

Laboratory Demographics

  • CLIA Code: 24D2190461
  • Facility Name: WELLNESS GROUP HOME CORPORATION
  • Facility Address: 2606 64TH AVE N
    BROOKLYN CENTER, MN
    ZIP 55430
  • Facility Phone: 612 205-6554
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ABDIRASHID ARAB
  • NPI Number: 1003460767
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2190461
LAB Type Home Health Agency
Facility Name WELLNESS GROUP HOME CORPORATION
Street 2606 64TH AVE N
City BROOKLYN CENTER
State MN
ZIP 55430
Phone 612 205-6554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Home Health Agency
Lab Director ABDIRASHID ARAB

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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