24D0405329 CLIA NUMBER - AVERA SUNRISE MANOR

Laboratory Demographics

  • CLIA Code: 24D0405329
  • Facility Name: AVERA SUNRISE MANOR
  • Facility Address: 240 WILLOW ST
    TYLER, MN
    ZIP 56178
  • Facility Phone: 507 247-2278
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHEENA S. STROM
  • NPI Number: 1821042920
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0405329
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVERA SUNRISE MANOR
Street 240 WILLOW ST
City TYLER
State MN
ZIP 56178
Phone 507 247-2278
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 SHEENA S. STROM

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