24D2023052 CLIA NUMBER - FARIBAULT SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 24D2023052
  • Facility Name: FARIBAULT SENIOR LIVING
  • Facility Address: 843 FARIBAULT ROAD
    FARIBAULT, MN
    ZIP 55021
  • Facility Phone: 507 334-5009
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CALISTA VOS
  • NPI Number: 1770873937
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2023052
LAB Type Assisted Living Facility
Facility Name FARIBAULT SENIOR LIVING
Street 843 FARIBAULT ROAD
City FARIBAULT
State MN
ZIP 55021
Phone 507 334-5009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Assisted Living Facility
Lab Director CALISTA VOS

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