24D2241392 CLIA NUMBER - HEALVIEW HEALTH LLC

Laboratory Demographics

  • CLIA Code: 24D2241392
  • Facility Name: HEALVIEW HEALTH LLC
  • Facility Address: 19138 HUNTINGTON AVENUE
    LAKEVILLE, MN
    ZIP 55044
  • Facility Phone: 952 807-1003
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ABDURAHMAN R. IBRAHIM
  • NPI Number: 1265185938
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 24D2241392
LAB Type Mobile Laboratory
Facility Name HEALVIEW HEALTH LLC
Street 19138 HUNTINGTON AVENUE
City LAKEVILLE
State MN
ZIP 55044
Phone 952 807-1003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Mobile Laboratory
Lab Director ABDURAHMAN R. IBRAHIM

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