24D0883074 CLIA NUMBER - BETHESDA HOME HEALTH

Laboratory Demographics

  • CLIA Code: 24D0883074
  • Facility Name: BETHESDA HOME HEALTH
  • Facility Address: 901 WILLMAR AVE SE
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 320 235-8364
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHANNON B. LANZRATH
  • NPI Number: 1033113626
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D0883074
LAB Type Home Health Agency
Facility Name BETHESDA HOME HEALTH
Street 901 WILLMAR AVE SE
City WILLMAR
State MN
ZIP 56201
Phone 320 235-8364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Home Health Agency
Lab Director SHANNON B. LANZRATH

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