24D2166249 CLIA NUMBER - COUNTRY MANOR ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D2166249
  • Facility Name: COUNTRY MANOR ASSISTED LIVING
  • Facility Address: 520 FIRST STREET NE
    SARTELL, MN
    ZIP 56377
  • Facility Phone: (320) 253-3343
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GABRIELLE ROSS

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CLIA Record

Field Name Field Value
CLIA Number 24D2166249
LAB Type Assisted Living Facility
Facility Name COUNTRY MANOR ASSISTED LIVING
Street 520 FIRST STREET NE
City SARTELL
State MN
ZIP 56377
Phone 3202533343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Assisted Living Facility
Lab Director GABRIELLE ROSS

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