24D2323376 CLIA NUMBER - ALLIANCE WELLNESS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 24D2323376
  • Facility Name: ALLIANCE WELLNESS CENTER, LLC
  • Facility Address: 8040 OLD CEDAR AVE, SOUTH STE 101
    BLOOMINGTON, MN
    ZIP 55425
  • Facility Phone: 952 562-3740
  • Facility Type: Other - MEDICAL ASSISTED TREATMEN
  • Facility Type: Accreditation
  • Lab Director: JACQUELINE HURT
  • NPI Number: 1780186130
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2323376
LAB Type Other - MEDICAL ASSISTED TREATMEN
Facility Name ALLIANCE WELLNESS CENTER, LLC
Street 8040 OLD CEDAR AVE, SOUTH STE 101
City BLOOMINGTON
State MN
ZIP 55425
Phone 952 562-3740
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Other - MEDICAL ASSISTED TREATMEN
Lab Director JACQUELINE HURT

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