24D2004726 CLIA NUMBER - KAPLAN WOODS CARE HOME

Laboratory Demographics

CLIA Code: 24D2004726
Facility Name: KAPLAN WOODS CARE HOME
Facility Address: 285 CEDARDALE DR SE
OWATONNA, MN
ZIP 55060
Facility Phone: 507 451-5327
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: ROSAS M. LEZLY
NPI Number: 1093938672
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	24D2004726
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	KAPLAN WOODS CARE HOME
Street	285 CEDARDALE DR SE
City	OWATONNA
State	MN
ZIP	55060
Phone	507 451-5327
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/12/2025
Certificate Expiration Date	6/11/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	ROSAS M. LEZLY

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