24D2191508 CLIA NUMBER - SOLACE HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 24D2191508
  • Facility Name: SOLACE HEALTH SERVICES LLC
  • Facility Address: 11041 134TH CIRCLE N
    CHAMPLIN, MN
    ZIP 55316
  • Facility Phone: 763 489-8422
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GLADYS N. NYABWARI
  • NPI Number: 1063049773
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2191508
LAB Type Home Health Agency
Facility Name SOLACE HEALTH SERVICES LLC
Street 11041 134TH CIRCLE N
City CHAMPLIN
State MN
ZIP 55316
Phone 763 489-8422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Home Health Agency
Lab Director GLADYS N. NYABWARI

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