24D2069807 CLIA NUMBER - ZUMBRO VALLEY HEALTH CENTER

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Laboratory Demographics

CLIA Number: 24D2069807

Facility Name: ZUMBRO VALLEY HEALTH CENTER

Facility Address:
343 WOOD LAKE DRIVE SE
ROCHESTER, MN
ZIP 55904
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Facility Phone Number: 507 289-2089

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801961263

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	24D2069807
LAB Type	Physician Office
Facility Name	ZUMBRO VALLEY HEALTH CENTER
Street	343 WOOD LAKE DRIVE SE
City	ROCHESTER
State	MN
ZIP	55904
Phone	507 289-2089
CertificateType	4
CertificateEffectiveDate	12/3/2023
CertificateExpirationDate	12/2/2025
FacilityType	Waiver

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