24D2161731 CLIA NUMBER - LEGACY OF BROWNSDALE

Laboratory Demographics

CLIA Number: 24D2161731

Facility Name: LEGACY OF BROWNSDALE

Facility Address:
105 LATHAM NE
BROWNSDALE, MN
ZIP 55918
Get Directions

Facility Phone Number: 507 203-1818

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1477038966

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D2161731
LAB Type	Assisted Living Facility
Facility Name	LEGACY OF BROWNSDALE
Street	105 LATHAM NE
City	BROWNSDALE
State	MN
ZIP	55918
Phone	507 203-1818
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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