24D0885104 CLIA NUMBER - PIERZ VILLA INC

Laboratory Demographics

  • CLIA Code: 24D0885104
  • Facility Name: PIERZ VILLA INC
  • Facility Address: 119 FAUST STREET SOUTHEAST
    PIERZ, MN
    ZIP 56364
  • Facility Phone: 320 468-6405
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAULA K. ROCHELEAU
  • NPI Number: 1376656512
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0885104
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PIERZ VILLA INC
Street 119 FAUST STREET SOUTHEAST
City PIERZ
State MN
ZIP 56364
Phone 320 468-6405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAULA K. ROCHELEAU

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