24D0882177 CLIA NUMBER - HENDRICKS COMMUNITY HOSPITAL NURSING

Laboratory Demographics

  • CLIA Code: 24D0882177
  • Facility Name: HENDRICKS COMMUNITY HOSPITAL NURSING
  • Facility Address: 503 EAST LINCOLN STREET
    HENDRICKS, MN
    ZIP 56136
  • Facility Phone: 507 275-3134
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TABB MCCLUSKEY
  • NPI Number: 1790863405
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0882177
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HENDRICKS COMMUNITY HOSPITAL NURSING
Street 503 EAST LINCOLN STREET
City HENDRICKS
State MN
ZIP 56136
Phone 507 275-3134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TABB MCCLUSKEY

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