24D2319571 CLIA NUMBER - ALABASTER HEALTHCARE

Laboratory Demographics

  • CLIA Code: 24D2319571
  • Facility Name: ALABASTER HEALTHCARE
  • Facility Address: 2854 HWY 55 SUITE 190
    EAGAN, MN
    ZIP 55121
  • Facility Phone: 612 345-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ESEOGHENE ABOKEDE
  • NPI Number: 1407560113
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D2319571
LAB Type Physician Office
Facility Name ALABASTER HEALTHCARE
Street 2854 HWY 55 SUITE 190
City EAGAN
State MN
ZIP 55121
Phone 612 345-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director ESEOGHENE ABOKEDE

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