24D1016823 CLIA NUMBER - BROOKDALE WINONA

Laboratory Demographics

CLIA Number: 24D1016823

Facility Name: BROOKDALE WINONA

Facility Address:
835 EAST BELLEVIEW STREET
WINONA, MN
ZIP 55987
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Facility Phone Number: 507 454-3090

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1699831156

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	24D1016823
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE WINONA
Street	835 EAST BELLEVIEW STREET
City	WINONA
State	MN
ZIP	55987
Phone	507 454-3090
CertificateType	4
CertificateEffectiveDate	7/26/2022
CertificateExpirationDate	7/25/2024
FacilityType	Waiver

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