24D0406702 CLIA NUMBER - KITTSON MEMORIAL HOSPITAL ASSOCIATION

Laboratory Demographics

CLIA Number: 24D0406702

Facility Name: KITTSON MEMORIAL HOSPITAL ASSOCIATION

Facility Address:
1010 S BIRCH AVE
HALLOCK, MN
ZIP 56728
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Facility Phone Number: 218 843-3828

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1003847211

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 24D0406702
LAB Type Hospital
Facility Name KITTSON MEMORIAL HOSPITAL ASSOCIATION
Street 1010 S BIRCH AVE
City HALLOCK
State MN
ZIP 56728
Phone 218 843-3828
CertificateType 2
CertificateEffectiveDate 11/1/2023
CertificateExpirationDate 10/31/2025
FacilityType Compliance

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