24D2321247 CLIA NUMBER - DAISY HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 24D2321247
  • Facility Name: DAISY HOME CARE, LLC
  • Facility Address: 819 30TH AVENUE S, SUITE 200B
    MOORHEAD, MN
    ZIP 56560
  • Facility Phone: 763 218-3394
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HAWA A. MOHAMED
  • NPI Number: 1669167615
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2321247
LAB Type Home Health Agency
Facility Name DAISY HOME CARE, LLC
Street 819 30TH AVENUE S, SUITE 200B
City MOORHEAD
State MN
ZIP 56560
Phone 763 218-3394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Home Health Agency
Lab Director HAWA A. MOHAMED

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