24D0400706 CLIA NUMBER - THE VILLA AT OSSEO, LLC

Laboratory Demographics

  • CLIA Code: 24D0400706
  • Facility Name: THE VILLA AT OSSEO, LLC
  • Facility Address: 501 2ND ST SE
    OSSEO, MN
    ZIP 55369
  • Facility Phone: 763 425-3939
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEIDI MCCORMICK
  • NPI Number: 1629401138
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0400706
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THE VILLA AT OSSEO, LLC
Street 501 2ND ST SE
City OSSEO
State MN
ZIP 55369
Phone 763 425-3939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEIDI MCCORMICK

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