24D0405967 CLIA NUMBER - ST OTTO'S CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0405967
  • Facility Name: ST OTTO'S CARE CENTER
  • Facility Address: 920 SE 4TH STREET
    LITTLE FALLS, MN
    ZIP 56345
  • Facility Phone: 320 632-9281
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRIAN P. BERNANDER
  • NPI Number: 1013184647
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0405967
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST OTTO'S CARE CENTER
Street 920 SE 4TH STREET
City LITTLE FALLS
State MN
ZIP 56345
Phone 320 632-9281
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 BRIAN P. BERNANDER

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