24D2014290 CLIA NUMBER - BRANDONS ASSISTED LIVING LLC

Home > CLIA Lookup > 24D2014290

Laboratory Demographics

CLIA Number: 24D2014290

Facility Name: BRANDONS ASSISTED LIVING LLC

Facility Address:
305 CENTRAL AVENUE SOUTH
BRANDON, MN
ZIP 56315
Get Directions

Facility Phone Number: 320 524-2207

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1336584606

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D2014290
LAB Type	Assisted Living Facility
Facility Name	BRANDONS ASSISTED LIVING LLC
Street	305 CENTRAL AVENUE SOUTH
City	BRANDON
State	MN
ZIP	56315
Phone	320 524-2207
CertificateType	4
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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