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24D2035188 CLIA NUMBER - GRATTAN PRIVATE DUTY NURSING

Laboratory Demographics

CLIA Number: 24D2035188

Facility Name: GRATTAN PRIVATE DUTY NURSING

Facility Address:
8382 - 50TH STREET
BRAINERD, MN
ZIP 56401
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Facility Phone Number: 218 820-1326

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1821365537

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 24D2035188
LAB Type Home Health Agency
Facility Name GRATTAN PRIVATE DUTY NURSING
Street 8382 - 50TH STREET
City BRAINERD
State MN
ZIP 56401
Phone 218 820-1326
CertificateType 4
CertificateEffectiveDate 1/12/2024
CertificateExpirationDate 1/11/2026
FacilityType Waiver

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