24D2281363 CLIA NUMBER - PRO HOME CARE FOR ALL

Laboratory Demographics

  • CLIA Code: 24D2281363
  • Facility Name: PRO HOME CARE FOR ALL
  • Facility Address: 4310 HANREHAN TRAIL
    SAVAGE, MN
    ZIP 55378
  • Facility Phone: 612 636-4693
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANA R. PALACIOS
  • NPI Number: 1548964265
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2281363
LAB Type Home Health Agency
Facility Name PRO HOME CARE FOR ALL
Street 4310 HANREHAN TRAIL
City SAVAGE
State MN
ZIP 55378
Phone 612 636-4693
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Home Health Agency
Lab Director ANA R. PALACIOS

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