24D2277230 CLIA NUMBER - BLESSED HANDS HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2277230
  • Facility Name: BLESSED HANDS HEALTH CARE LLC
  • Facility Address: 8465 79TH STREET SOUTH
    COTTAGE GROVE, MN
    ZIP 55016
  • Facility Phone: 651 368-8802
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DOMINIC I. IRABOR
  • NPI Number: 1497494017
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2277230
LAB Type Assisted Living Facility
Facility Name BLESSED HANDS HEALTH CARE LLC
Street 8465 79TH STREET SOUTH
City COTTAGE GROVE
State MN
ZIP 55016
Phone 651 368-8802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Assisted Living Facility
Lab Director DOMINIC I. IRABOR

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This page was last updated on: 6/4/2025