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ALLIANCE WELLNESS CLINIC INC.
NPI 1780186130
Clinic/Center - Methadone in Bloomington, MN

Active since March 01, 2018CLIA 24D2216296 · Waiver
8040 OLD CEDAR AVE. S. STE. 100, BLOOMINGTON, MN 55425(952) 693-0080(952) 955-6567 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2020, May 17, 2019, Mar 1, 2018 (3 updates tracked since 2018).

About Alliance Wellness Clinic Inc. NPPES

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

ALLIANCE WELLNESS CLINIC INC. (NPI 1780186130) is a healthcare organization registered as a methadone in Bloomington, Minnesota and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Patricia Joann Friedman, Treatment Director, as its authorized official.

NPPES Registry Identity

NPI1780186130
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameALLIANCE WELLNESS CLINIC INC.
Location Address8040 OLD CEDAR AVE. S. STE. 100Bloomington, MN 55425-1211
Mailing Address8040 Old Cedar Ave. S. Ste. 100Bloomington, MN 55425-1211 · (952) 693-0080 · Fax (952) 955-6567
Phone(952) 693-0080
Fax(952) 955-6567
Organization SubpartNo
Authorized OfficialPatricia Joann FriedmanTreatment Director · (952) 693-0080
Enumeration DateMarch 1, 2018
Last NPPES UpdateApril 21, 20203 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1780186130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
8040 OLD CEDAR AVE. S. STE. 100, Bloomington, MN 55425
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Other Identifiers 1

Other1780186130MN · Npi

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 24D2216296

Alliance Wellness Clinic, Inc · Bloomington, MN
Active · expires Mar 10, 2027
CLIA Number24D2216296
Laboratory TypeMedication Assisted Treat
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorKate Harris
Laboratory Phone(952) 693-0080
Laboratory LocationAlliance Wellness Clinic, Inc8040 Old Cedar Ave S Ste 100, Bloomington, MN 55425
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Alliance Wellness Clinic Inc.'s NPI number?

The NPI number for Alliance Wellness Clinic Inc. is 1780186130. It was assigned to this organization in the NPPES registry on March 1, 2018.

Where is Alliance Wellness Clinic Inc. located?

Alliance Wellness Clinic Inc. is located at 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425. The listed phone number is (952) 693-0080.

What is Alliance Wellness Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Alliance Wellness Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2216296) is associated with this NPI, valid through March 10, 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 Alliance Wellness Clinic Inc. was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.