24D2175854 CLIA NUMBER - AVERA GRANITE FALLS CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D2175854
  • Facility Name: AVERA GRANITE FALLS CARE CENTER
  • Facility Address: 250 JORDAN DRIVE
    GRANITE FALLS, MN
    ZIP 56241
  • Facility Phone: 320 564-6250
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAWN A. HUELSMAN
  • NPI Number: 1346883279
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2175854
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVERA GRANITE FALLS CARE CENTER
Street 250 JORDAN DRIVE
City GRANITE FALLS
State MN
ZIP 56241
Phone 320 564-6250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAWN A. HUELSMAN

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