24D2226378 CLIA NUMBER - GREATERCARE FACILITIES LLC

Laboratory Demographics

  • CLIA Code: 24D2226378
  • Facility Name: GREATERCARE FACILITIES LLC
  • Facility Address: 7780 SOMERSET ROAD
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 651 528-8739
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MIRIAM A. EGBUDOM
  • NPI Number: 1699255372
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2226378
LAB Type Home Health Agency
Facility Name GREATERCARE FACILITIES LLC
Street 7780 SOMERSET ROAD
City WOODBURY
State MN
ZIP 55125
Phone 651 528-8739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Home Health Agency
Lab Director MIRIAM A. EGBUDOM

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