24D2231298 CLIA NUMBER - CHOSEN VALLEY ASSISTED LIVING

Laboratory Demographics

CLIA Number: 24D2231298

Facility Name: CHOSEN VALLEY ASSISTED LIVING

Facility Address:
1260 WINONA STREET SE
CHATFIELD, MN
ZIP 55923
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Facility Phone Number: 507 867-3416

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1841222908

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 24D2231298
LAB Type Assisted Living Facility
Facility Name CHOSEN VALLEY ASSISTED LIVING
Street 1260 WINONA STREET SE
City CHATFIELD
State MN
ZIP 55923
Phone 507 867-3416
CertificateType 4
CertificateEffectiveDate 8/2/2023
CertificateExpirationDate 8/1/2025
FacilityType Waiver

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