24D1082382 CLIA NUMBER - SERVING HART

Laboratory Demographics

  • CLIA Code: 24D1082382
  • Facility Name: SERVING HART
  • Facility Address: 601 E LAKE ST
    CHISHOLM, MN
    ZIP 55719
  • Facility Phone: 218 254-7300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOANNE M. FRISBY
  • NPI Number: 1366623977
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1082382
LAB Type Assisted Living Facility
Facility Name SERVING HART
Street 601 E LAKE ST
City CHISHOLM
State MN
ZIP 55719
Phone 218 254-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Assisted Living Facility
Lab Director JOANNE M. FRISBY

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