24D2278618 CLIA NUMBER - GOLDEN PATH HOME CARE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 24D2278618
  • Facility Name: GOLDEN PATH HOME CARE SERVICES, LLC
  • Facility Address: 2094 151ST LANE NW
    ANDOVER, MN
    ZIP 55304
  • Facility Phone: 763 269-9240
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LINDA M. MONGARE
  • NPI Number: 1255039269
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2278618
LAB Type Assisted Living Facility
Facility Name GOLDEN PATH HOME CARE SERVICES, LLC
Street 2094 151ST LANE NW
City ANDOVER
State MN
ZIP 55304
Phone 763 269-9240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Assisted Living Facility
Lab Director LINDA M. MONGARE

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