24D2305259 CLIA NUMBER - 5 STAR MOBILE LABS LLC

Laboratory Demographics

  • CLIA Code: 24D2305259
  • Facility Name: 5 STAR MOBILE LABS LLC
  • Facility Address: 2112 BROADWAY ST NE, SUITE 225
    MINNEAPOLIS, MN
    ZIP 55413
  • Facility Phone: 612 643-9336
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KYIA C. BURKS-LANKFORD
  • NPI Number: 1871291302
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 24D2305259
LAB Type Independent
Facility Name 5 STAR MOBILE LABS LLC
Street 2112 BROADWAY ST NE, SUITE 225
City MINNEAPOLIS
State MN
ZIP 55413
Phone 612 643-9336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Independent
Lab Director KYIA C. BURKS-LANKFORD

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