24D0664620 CLIA NUMBER - SUNRISE VILLAGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D0664620
  • Facility Name: SUNRISE VILLAGE ASSISTED LIVING
  • Facility Address: 1125 9TH ST SE
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 320 235-9532
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE MONSON
  • NPI Number: 1174527410
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0664620
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNRISE VILLAGE ASSISTED LIVING
Street 1125 9TH ST SE
City WILLMAR
State MN
ZIP 56201
Phone 320 235-9532
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 NICOLE MONSON

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