24D2254981 CLIA NUMBER - ABRIA RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 24D2254981
  • Facility Name: ABRIA RECOVERY, LLC
  • Facility Address: 14750 LAC LAVON DR
    BURNSVILLE, MN
    ZIP 55306
  • Facility Phone: 952 406-8105
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: IDMAN A. MOHAMED
  • NPI Number: 1861030991
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2254981
LAB Type Practitioner Other
Facility Name ABRIA RECOVERY, LLC
Street 14750 LAC LAVON DR
City BURNSVILLE
State MN
ZIP 55306
Phone 952 406-8105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Practitioner Other
Lab Director IDMAN A. MOHAMED

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