24D2259861 CLIA NUMBER - AVALYN CARE LLC

Laboratory Demographics

  • CLIA Code: 24D2259861
  • Facility Name: AVALYN CARE LLC
  • Facility Address: 7306 PARRISH AVE NE
    OTSEGO, MN
    ZIP 55330
  • Facility Phone: 651 428-6236
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FREDA ACHIAA
  • NPI Number: 1720722374
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2259861
LAB Type Home Health Agency
Facility Name AVALYN CARE LLC
Street 7306 PARRISH AVE NE
City OTSEGO
State MN
ZIP 55330
Phone 651 428-6236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Home Health Agency
Lab Director FREDA ACHIAA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025