24D0405600 CLIA NUMBER - OLIVIA RESTORATIVE CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0405600
  • Facility Name: OLIVIA RESTORATIVE CARE CENTER
  • Facility Address: 1003 W MAPLE AVE
    OLIVIA, MN
    ZIP 56277
  • Facility Phone: 320 523-1652
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VIKAS S. MITTAL
  • NPI Number: 1982149183
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0405600
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OLIVIA RESTORATIVE CARE CENTER
Street 1003 W MAPLE AVE
City OLIVIA
State MN
ZIP 56277
Phone 320 523-1652
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 VIKAS S. MITTAL

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