24D0404582 CLIA NUMBER - WHITEWATER HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 24D0404582
  • Facility Name: WHITEWATER HEALTH SERVICES
  • Facility Address: 525 BLUFF AVENUE
    ST CHARLES, MN
    ZIP 55972
  • Facility Phone: 507 932-3283
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR LILIA PONTON
  • NPI Number: 1841735578
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0404582
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHITEWATER HEALTH SERVICES
Street 525 BLUFF AVENUE
City ST CHARLES
State MN
ZIP 55972
Phone 507 932-3283
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 DR LILIA PONTON

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