24D0406332 CLIA NUMBER - LB BROEN HOME

Laboratory Demographics

  • CLIA Code: 24D0406332
  • Facility Name: LB BROEN HOME
  • Facility Address: 824 SOUTH SHERIDAN STREET
    FERGUS FALLS, MN
    ZIP 56537
  • Facility Phone: 218 998-7313
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA VOGEL
  • NPI Number: 1053307793
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0406332
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LB BROEN HOME
Street 824 SOUTH SHERIDAN STREET
City FERGUS FALLS
State MN
ZIP 56537
Phone 218 998-7313
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 LISA VOGEL

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