24D0651550 CLIA NUMBER - ST JOHN LUTHERAN HOME

Laboratory Demographics

  • CLIA Code: 24D0651550
  • Facility Name: ST JOHN LUTHERAN HOME
  • Facility Address: 201 SOUTH COUNTY ROAD 5
    SPRINGFIELD, MN
    ZIP 56087
  • Facility Phone: (507) 723-3200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JUDY PAUTZKE
  • NPI Number: 1649266560
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0651550
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST JOHN LUTHERAN HOME
Street 201 SOUTH COUNTY ROAD 5
City SPRINGFIELD
State MN
ZIP 56087
Phone 5077233200
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 JUDY PAUTZKE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026