24D1097556 CLIA NUMBER - SKYLIGHT GARDENS ASSISTED LIVING

Laboratory Demographics

CLIA Number: 24D1097556

Facility Name: SKYLIGHT GARDENS ASSISTED LIVING

Facility Address:
501 1ST ST N
SAINT CLOUD, MN
ZIP 56303
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Facility Phone Number: 320 259-4584

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1235365271

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	24D1097556
LAB Type	Assisted Living Facility
Facility Name	SKYLIGHT GARDENS ASSISTED LIVING
Street	501 1ST ST N
City	SAINT CLOUD
State	MN
ZIP	56303
Phone	320 259-4584
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

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