24D0676230 CLIA NUMBER - MAPLE MANOR NURSING & REHAB LLC

Laboratory Demographics

  • CLIA Code: 24D0676230
  • Facility Name: MAPLE MANOR NURSING & REHAB LLC
  • Facility Address: 1875 19TH STREET NW
    ROCHESTER, MN
    ZIP 55901
  • Facility Phone: 507 282-9449
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIM MORRIS
  • NPI Number: 1831192053
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0676230
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE MANOR NURSING & REHAB LLC
Street 1875 19TH STREET NW
City ROCHESTER
State MN
ZIP 55901
Phone 507 282-9449
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 KIM MORRIS

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