24D2227358 CLIA NUMBER - LIFECARE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 24D2227358
  • Facility Name: LIFECARE MEDICAL CENTER
  • Facility Address: 201 10TH ST SE
    ROSEAU, MN
    ZIP 56751
  • Facility Phone: 218 463-2006
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHANA D. LANCTOT
  • NPI Number: 1891780516
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2227358
LAB Type Assisted Living Facility
Facility Name LIFECARE MEDICAL CENTER
Street 201 10TH ST SE
City ROSEAU
State MN
ZIP 56751
Phone 218 463-2006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Assisted Living Facility
Lab Director SHANA D. LANCTOT

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