24D0663962 CLIA NUMBER - ANNANDALE CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0663962
  • Facility Name: ANNANDALE CARE CENTER
  • Facility Address: 500 PARK ST E
    ANNANDALE, MN
    ZIP 55302
  • Facility Phone: 320 274-3737
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. LISA A. BAHR
  • NPI Number: 1538169024
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0663962
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ANNANDALE CARE CENTER
Street 500 PARK ST E
City ANNANDALE
State MN
ZIP 55302
Phone 320 274-3737
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 MS. LISA A. BAHR

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