24D2206686 CLIA NUMBER - OLYDIA HOME CARE INC

Laboratory Demographics

  • CLIA Code: 24D2206686
  • Facility Name: OLYDIA HOME CARE INC
  • Facility Address: 7530 MARKET PLACE DRIVE
    EDEN PRAIRIE, MN
    ZIP 55344
  • Facility Phone: (612) 703-6144
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LYDIA K. NKWONKAM
  • NPI Number: 1427360114
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2206686
LAB Type Home Health Agency
Facility Name OLYDIA HOME CARE INC
Street 7530 MARKET PLACE DRIVE
City EDEN PRAIRIE
State MN
ZIP 55344
Phone 6127036144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Home Health Agency
Lab Director LYDIA K. NKWONKAM

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: 5/18/2026