24D0666669 CLIA NUMBER - COKATO MANOR

Laboratory Demographics

  • CLIA Code: 24D0666669
  • Facility Name: COKATO MANOR
  • Facility Address: 182 SUNSET AVENUE
    COKATO, MN
    ZIP 55321
  • Facility Phone: 320 286-2158
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JON RIEWER
  • NPI Number: 1407887953
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D0666669
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COKATO MANOR
Street 182 SUNSET AVENUE
City COKATO
State MN
ZIP 55321
Phone 320 286-2158
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 JON RIEWER

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This page was last updated on: 3/20/2025