24D0405197 CLIA NUMBER - HOME FOR CREATIVE LIVING

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CLIA Record

Field Name Field Value
CLIA Number 24D0405197
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name HOME FOR CREATIVE LIVING
Street 108 9TH STREET
City WINDOM
State MN
ZIP 56101
Phone 5078315036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SHIRLEY OINES

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