24D0651506 CLIA NUMBER - HOUSTON COUNTY PUBLIC HEALTH

Laboratory Demographics

  • CLIA Code: 24D0651506
  • Facility Name: HOUSTON COUNTY PUBLIC HEALTH
  • Facility Address: 611 VISTA DRIVE SUITE 1
    CALEDONIA, MN
    ZIP 55921
  • Facility Phone: 507 725-5810
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JORDAN KNOKE
  • NPI Number: 1962528075
  • Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness

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CLIA Record

Field Name Field Value
CLIA Number 24D0651506
LAB Type Home Health Agency
Facility Name HOUSTON COUNTY PUBLIC HEALTH
Street 611 VISTA DRIVE SUITE 1
City CALEDONIA
State MN
ZIP 55921
Phone 507 725-5810
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 Home Health Agency
Lab Director JORDAN KNOKE

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