24D1057534 CLIA NUMBER - ARISE HOME HEALTH CARE

Laboratory Demographics

CLIA Number: 24D1057534

Facility Name: ARISE HOME HEALTH CARE

Facility Address:
2907 CLEARWATER ROAD SUITE 200
SAINT CLOUD, MN
ZIP 56301
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Facility Phone Number: 320 230-6348

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1629168430

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	24D1057534
LAB Type	Home Health Agency
Facility Name	ARISE HOME HEALTH CARE
Street	2907 CLEARWATER ROAD SUITE 200
City	SAINT CLOUD
State	MN
ZIP	56301
Phone	320 230-6348
CertificateType	4
CertificateEffectiveDate	8/15/2022
CertificateExpirationDate	8/14/2024
FacilityType	Waiver

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