24D2202064 CLIA NUMBER - ACCESS MINNESOTA LLC

Laboratory Demographics

  • CLIA Code: 24D2202064
  • Facility Name: ACCESS MINNESOTA LLC
  • Facility Address: 335 37TH AVENUE N
    SAINT CLOUD, MN
    ZIP 56303
  • Facility Phone: 612 501-0484
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HODAN A. ESSE
  • NPI Number: 1790291169
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2202064
LAB Type Home Health Agency
Facility Name ACCESS MINNESOTA LLC
Street 335 37TH AVENUE N
City SAINT CLOUD
State MN
ZIP 56303
Phone 612 501-0484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Home Health Agency
Lab Director HODAN A. ESSE

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