24D0663325 CLIA NUMBER - LUTHER HAVEN

Laboratory Demographics

  • CLIA Code: 24D0663325
  • Facility Name: LUTHER HAVEN
  • Facility Address: 1109 EAST HWY 7
    MONTEVIDEO, MN
    ZIP 56265
  • Facility Phone: 320 269-6517
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAWN HUELSMAN
  • NPI Number: 1184629925
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0663325
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LUTHER HAVEN
Street 1109 EAST HWY 7
City MONTEVIDEO
State MN
ZIP 56265
Phone 320 269-6517
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 DAWN HUELSMAN

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