24D0667611 CLIA NUMBER - MIDWAY CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0667611
  • Facility Name: MIDWAY CARE CENTER
  • Facility Address: 114 2ND STREET NORTHEAST
    FOSSTON, MN
    ZIP 56542
  • Facility Phone: 218 435-1272
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRANDI COYER
  • NPI Number: 1982637617
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0667611
LAB Type Assisted Living Facility
Facility Name MIDWAY CARE CENTER
Street 114 2ND STREET NORTHEAST
City FOSSTON
State MN
ZIP 56542
Phone 218 435-1272
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 Assisted Living Facility
Lab Director BRANDI COYER

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