24D0651664 CLIA NUMBER - CENTRAL TODD COUNTY CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0651664
  • Facility Name: CENTRAL TODD COUNTY CARE CENTER
  • Facility Address: 406 EAST HIGHWAY 71
    CLARISSA, MN
    ZIP 56440
  • Facility Phone: 218 756-3636
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JASON E. POLOVICK
  • NPI Number: 1003899402
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0651664
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTRAL TODD COUNTY CARE CENTER
Street 406 EAST HIGHWAY 71
City CLARISSA
State MN
ZIP 56440
Phone 218 756-3636
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 JASON E. POLOVICK

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