24D1050238 CLIA NUMBER - BROOKE MANOR INC

Laboratory Demographics

  • CLIA Code: 24D1050238
  • Facility Name: BROOKE MANOR INC
  • Facility Address: 4878 HWY 31
    BROOKSTON, MN
    ZIP 55711
  • Facility Phone: 218 453-5262
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: VIRGINIA TUOMINEN
  • NPI Number: 1285073783
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1050238
LAB Type Other
Facility Name BROOKE MANOR INC
Street 4878 HWY 31
City BROOKSTON
State MN
ZIP 55711
Phone 218 453-5262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Other
Lab Director VIRGINIA TUOMINEN

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