24D0405247 CLIA NUMBER - COLONIAL MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 24D0405247
  • Facility Name: COLONIAL MANOR NURSING HOME
  • Facility Address: 403 COLONIAL AVENUE
    LAKEFIELD, MN
    ZIP 56150
  • Facility Phone: 507 662-6646
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARA HENNING
  • NPI Number: 1578501235
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0405247
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLONIAL MANOR NURSING HOME
Street 403 COLONIAL AVENUE
City LAKEFIELD
State MN
ZIP 56150
Phone 507 662-6646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SARA HENNING

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