24D0666573 CLIA NUMBER - SUNNYSIDE CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0666573
  • Facility Name: SUNNYSIDE CARE CENTER
  • Facility Address: 16561 HIGHWAY 10
    LAKE PARK, MN
    ZIP 56554
  • Facility Phone: 218 238-5944
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LORI A. OLSON
  • NPI Number: 1831126374
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0666573
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNNYSIDE CARE CENTER
Street 16561 HIGHWAY 10
City LAKE PARK
State MN
ZIP 56554
Phone 218 238-5944
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 LORI A. OLSON

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