24D2326413 CLIA NUMBER - INSPIRE CHANGE CLINIC

Laboratory Demographics

  • CLIA Code: 24D2326413
  • Facility Name: INSPIRE CHANGE CLINIC
  • Facility Address: 2015 CHICAGO AVE S
    MINNEAPOLIS, MN
    ZIP 55404
  • Facility Phone: 952 457-3797
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAMILA ABDUKADIR
  • NPI Number: 1831932128
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2326413
LAB Type Practitioner Other
Facility Name INSPIRE CHANGE CLINIC
Street 2015 CHICAGO AVE S
City MINNEAPOLIS
State MN
ZIP 55404
Phone 952 457-3797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Practitioner Other
Lab Director JAMILA ABDUKADIR

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