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24D0405873 CLIA NUMBER - KNUTE NELSON

Laboratory Demographics

CLIA Number: 24D0405873

Facility Name: KNUTE NELSON

Facility Address:
420 12TH AVE E
ALEXANDRIA, MN
ZIP 56308
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Facility Phone Number: 320 763-6653

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1477676229

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 24D0405873
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KNUTE NELSON
Street 420 12TH AVE E
City ALEXANDRIA
State MN
ZIP 56308
Phone 320 763-6653
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024