24D2271864 CLIA NUMBER - DIRECT HOME CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 24D2271864
  • Facility Name: DIRECT HOME CARE SERVICES LLC
  • Facility Address: 19449 RUSH ST NW
    ELK RIVER, MN
    ZIP 55330
  • Facility Phone: 763 898-9162
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SAM GARNETT TOTIMEH
  • NPI Number: 1114669801
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2271864
LAB Type Assisted Living Facility
Facility Name DIRECT HOME CARE SERVICES LLC
Street 19449 RUSH ST NW
City ELK RIVER
State MN
ZIP 55330
Phone 763 898-9162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Assisted Living Facility
Lab Director SAM GARNETT TOTIMEH

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