24D0405873 CLIA NUMBER - KNUTE NELSON

Laboratory Demographics

  • CLIA Code: 24D0405873
  • Facility Name: KNUTE NELSON
  • Facility Address: 420 12TH AVE E
    ALEXANDRIA, MN
    ZIP 56308
  • Facility Phone: 320 763-6653
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAT PERRYMAN
  • NPI Number: 1477676229
  • Taxonomy: 251E00000X - Home Health

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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
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 PAT PERRYMAN

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