24D0404200 CLIA NUMBER - CHARTER HOUSE

Laboratory Demographics

  • CLIA Code: 24D0404200
  • Facility Name: CHARTER HOUSE
  • Facility Address: 211 SECOND STREET NW
    ROCHESTER, MN
    ZIP 55901
  • Facility Phone: 507 266-7946
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALEJANDRA A. VILLAVICENCIO
  • NPI Number: 1083601843
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0404200
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHARTER HOUSE
Street 211 SECOND STREET NW
City ROCHESTER
State MN
ZIP 55901
Phone 507 266-7946
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 ALEJANDRA A. VILLAVICENCIO

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: 9/29/2025