24D1048702 CLIA NUMBER - ST SCHOLASTICA CONVENT

Laboratory Demographics

CLIA Number: 24D1048702

Facility Name: ST SCHOLASTICA CONVENT

Facility Address:
1845 20TH AVE SE
SAINT CLOUD, MN
ZIP 56304
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Facility Phone Number: 320 251-2225

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1306073093

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 24D1048702
LAB Type Other
Facility Name ST SCHOLASTICA CONVENT
Street 1845 20TH AVE SE
City SAINT CLOUD
State MN
ZIP 56304
Phone 320 251-2225
CertificateType 4
CertificateEffectiveDate 12/8/2023
CertificateExpirationDate 12/7/2025
FacilityType Waiver

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