24D2154743 CLIA NUMBER - CG CARE CENTER, LLC DBA NORRIS SQUARE

Laboratory Demographics

  • CLIA Code: 24D2154743
  • Facility Name: CG CARE CENTER, LLC DBA NORRIS SQUARE
  • Facility Address: 6993 80TH STREET SOUTH
    COTTAGE GROVE, MN
    ZIP 55016
  • Facility Phone: (651) 769-6650
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. KOHUTH
  • NPI Number: 1710473434
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2154743
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CG CARE CENTER, LLC DBA NORRIS SQUARE
Street 6993 80TH STREET SOUTH
City COTTAGE GROVE
State MN
ZIP 55016
Phone 6517696650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL R. KOHUTH

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This page was last updated on: 5/18/2026