24D2035188 CLIA NUMBER - GRATTAN PRIVATE DUTY NURSING

Laboratory Demographics

  • CLIA Code: 24D2035188
  • Facility Name: GRATTAN PRIVATE DUTY NURSING
  • Facility Address: 8382 50TH AVENUE
    BRAINERD, MN
    ZIP 56401
  • Facility Phone: 218 820-1326
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ERIN VARGO
  • NPI Number: 1821365537
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2035188
LAB Type Home Health Agency
Facility Name GRATTAN PRIVATE DUTY NURSING
Street 8382 50TH AVENUE
City BRAINERD
State MN
ZIP 56401
Phone 218 820-1326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Home Health Agency
Lab Director ERIN VARGO

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