24D0920361 CLIA NUMBER - NELSON GABLES SENIOR CARE APARTMENTS

Laboratory Demographics

  • CLIA Code: 24D0920361
  • Facility Name: NELSON GABLES SENIOR CARE APARTMENTS
  • Facility Address: 1220 NOKOMIS STREET #121
    ALEXANDRIA, MN
    ZIP 56308
  • Facility Phone: 320 762-1113
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANGIE GOERGEN
  • NPI Number: 1861721417
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0920361
LAB Type Assisted Living Facility
Facility Name NELSON GABLES SENIOR CARE APARTMENTS
Street 1220 NOKOMIS STREET #121
City ALEXANDRIA
State MN
ZIP 56308
Phone 320 762-1113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Assisted Living Facility
Lab Director ANGIE GOERGEN

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