24D2004617 CLIA NUMBER - HERITAGE HOUSE ELDER CARE

Laboratory Demographics

  • CLIA Code: 24D2004617
  • Facility Name: HERITAGE HOUSE ELDER CARE
  • Facility Address: 1415 7TH STREET NW
    FARIBAULT, MN
    ZIP 55021
  • Facility Phone: 507 334-5111
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JODI FERRIS
  • NPI Number: 1962945154
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2004617
LAB Type Assisted Living Facility
Facility Name HERITAGE HOUSE ELDER CARE
Street 1415 7TH STREET NW
City FARIBAULT
State MN
ZIP 55021
Phone 507 334-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Assisted Living Facility
Lab Director JODI FERRIS

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