24D0662969 CLIA NUMBER - HALSTAD LIVING CENTER AND HERITAGE HOUSE

Laboratory Demographics

  • CLIA Code: 24D0662969
  • Facility Name: HALSTAD LIVING CENTER AND HERITAGE HOUSE
  • Facility Address: 133 4TH AVENUE EAST
    HALSTAD, MN
    ZIP 56548
  • Facility Phone: 218 456-2105
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA NELSON
  • NPI Number: 1629066824
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0662969
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HALSTAD LIVING CENTER AND HERITAGE HOUSE
Street 133 4TH AVENUE EAST
City HALSTAD
State MN
ZIP 56548
Phone 218 456-2105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANGELA NELSON

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