24D1037833 CLIA NUMBER - VALLEY HOME

Laboratory Demographics

  • CLIA Code: 24D1037833
  • Facility Name: VALLEY HOME
  • Facility Address: 523 ARNOLD AVENUE SOUTH
    THIEF RIVER FALLS, MN
    ZIP 56701
  • Facility Phone: 218 681-3286
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LYNN M. GELLER
  • NPI Number: 1174148506
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1037833
LAB Type Practitioner Other
Facility Name VALLEY HOME
Street 523 ARNOLD AVENUE SOUTH
City THIEF RIVER FALLS
State MN
ZIP 56701
Phone 218 681-3286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Practitioner Other
Lab Director LYNN M. GELLER

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This page was last updated on: 6/4/2025