24D0915735 CLIA NUMBER - BENEDICTINE RED WING - ST CRISPIN

Laboratory Demographics

CLIA Number: 24D0915735

Facility Name: BENEDICTINE RED WING - ST CRISPIN

Facility Address:
213 PIONEER ROAD
RED WING, MN
ZIP 55066
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Facility Phone Number: 651 385-5484

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1730264607

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D0915735
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	BENEDICTINE RED WING - ST CRISPIN
Street	213 PIONEER ROAD
City	RED WING
State	MN
ZIP	55066
Phone	651 385-5484
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024