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ABRIA DETOX LLC
NPI 1437872660
Clinic/Center - Rehabilitation, Substance Use Disorder in Burnsville, MN

Active since September 22, 2022CLIA 24D2336119 · Waiver
14750 LAC LAVON DR, BURNSVILLE, MN 55306(612) 562-0561 Get Directions Write a Review

NPPES record last updated: September 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abria Detox Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABRIA DETOX LLC (NPI 1437872660) is a healthcare organization registered as a rehabilitation, substance use disorder in Burnsville, Minnesota and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Idman Ahmednur Mohamed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437872660
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameABRIA DETOX LLC
Location Address14750 LAC LAVON DRBurnsville, MN 55306-6398
Mailing AddressPo Box 654Lakeville, MN 55044-0654 · (612) 562-0561
Phone(612) 562-0561
Organization SubpartNo
Authorized OfficialIdman Ahmednur MohamedCeo · (952) 388-7640
Enumeration DateSeptember 22, 2022
Last NPPES UpdateSeptember 30, 2023
NPPES CertifiedSeptember 30, 2023
✔ NPI 1437872660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
14750 LAC LAVON DR, Burnsville, MN 55306
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2336119

Abria Detox · Burnsville, MN
Active · expires Dec 22, 2027
CLIA Number24D2336119
Laboratory TypeBehavioral Health- Detox
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorIdman A. Mohamed
Laboratory Phone(952) 345-0099
Laboratory LocationAbria Detox14750 Lac Lavon Dr, Burnsville, MN 55306
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER RIDGE, LLC
Counselor (Addiction (Substance Use Disorder))
14750 LAC LAVON DR
BURNSVILLE, MN 55306
Dakota County (952) 894-7722
MEGHAN KANE
Marriage & Family Therapist
14750 LAC LAVON DR
BURNSVILLE, MN 55306
Dakota County (952) 894-7722
HEATHER HEIDE
Marriage & Family Therapist
14750 LAC LAVON DR
BURNSVILLE, MN 55306
Dakota County (952) 894-7722
TRACY MARIE WEITZEL LADC
Counselor (Addiction (Substance Use Disorder))
14750 LAC LAVON DR
BURNSVILLE, MN 55306
Dakota County (952) 248-2090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abria Detox LLC's NPI number?

The NPI number for Abria Detox LLC is 1437872660. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Abria Detox LLC located?

Abria Detox LLC is located at 14750 Lac Lavon Dr, Burnsville, MN 55306. The listed phone number is (612) 562-0561.

What is Abria Detox LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Abria Detox LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2336119) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Abria Detox LLC was last updated on September 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.