24D0683647 CLIA NUMBER - TRAVERSE CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D0683647
  • Facility Name: TRAVERSE CARE CENTER
  • Facility Address: 303 7TH STREET SOUTH
    WHEATON, MN
    ZIP 56296
  • Facility Phone: 320 563-8124
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STANLEY GALLAGHER
  • NPI Number: 1558366146
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0683647
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRAVERSE CARE CENTER
Street 303 7TH STREET SOUTH
City WHEATON
State MN
ZIP 56296
Phone 320 563-8124
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 STANLEY GALLAGHER

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