24D2270816 CLIA NUMBER - EASTERN HOME CARE INC

Laboratory Demographics

  • CLIA Code: 24D2270816
  • Facility Name: EASTERN HOME CARE INC
  • Facility Address: 6917 101ST STREET SOUTH
    COTTAGE GROVE, MN
    ZIP 55016
  • Facility Phone: 763 221-9162
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: OKECHUKWU U. UGWU
  • NPI Number: 1538961701
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2270816
LAB Type Assisted Living Facility
Facility Name EASTERN HOME CARE INC
Street 6917 101ST STREET SOUTH
City COTTAGE GROVE
State MN
ZIP 55016
Phone 763 221-9162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Assisted Living Facility
Lab Director OKECHUKWU U. UGWU

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