24D2111016 CLIA NUMBER - LITTLEFORK CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D2111016
  • Facility Name: LITTLEFORK CARE CENTER
  • Facility Address: 912 MAIN STREET
    LITTLEFORK, MN
    ZIP 56653
  • Facility Phone: 218 278-6653
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VICKIE E. HASBARGEN
  • NPI Number: 1609233980
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2111016
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LITTLEFORK CARE CENTER
Street 912 MAIN STREET
City LITTLEFORK
State MN
ZIP 56653
Phone 218 278-6653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director VICKIE E. HASBARGEN

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