24D2286562 CLIA NUMBER - EVANGELIA WOLD INC DBA SYMPHONY SENIOR HOME CARE

Laboratory Demographics

  • CLIA Code: 24D2286562
  • Facility Name: EVANGELIA WOLD INC DBA SYMPHONY SENIOR HOME CARE
  • Facility Address: 4525 WHITE BEAR PARKWAY #128
    WHITE BEAR LAKE, MN
    ZIP 55110
  • Facility Phone: 651 330-3841
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: EVANGELIA M. WOLD
  • NPI Number: 1386498715
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 24D2286562
LAB Type Home Health Agency
Facility Name EVANGELIA WOLD INC DBA SYMPHONY SENIOR HOME CARE
Street 4525 WHITE BEAR PARKWAY #128
City WHITE BEAR LAKE
State MN
ZIP 55110
Phone 651 330-3841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Home Health Agency
Lab Director EVANGELIA M. WOLD

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