24D2107341 CLIA NUMBER - SPOT REHABILITATION, INC

Laboratory Demographics

  • CLIA Code: 24D2107341
  • Facility Name: SPOT REHABILITATION, INC
  • Facility Address: 2835 WEST ST GERMAIN STREET SUITE 300
    SAINT CLOUD, MN
    ZIP 56301
  • Facility Phone: 320 259-4151
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROBERTA J. HOLDEN
  • NPI Number: 1013919448
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 24D2107341
LAB Type Home Health Agency
Facility Name SPOT REHABILITATION, INC
Street 2835 WEST ST GERMAIN STREET SUITE 300
City SAINT CLOUD
State MN
ZIP 56301
Phone 320 259-4151
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 ROBERTA J. HOLDEN

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