24D0665153 CLIA NUMBER - GREEN PINE ACRES

Laboratory Demographics

  • CLIA Code: 24D0665153
  • Facility Name: GREEN PINE ACRES
  • Facility Address: 427 MAIN ST NE
    MENAHGA, MN
    ZIP 56464
  • Facility Phone: 218 564-4101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAURA J. AHLF
  • NPI Number: 1922160159
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0665153
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GREEN PINE ACRES
Street 427 MAIN ST NE
City MENAHGA
State MN
ZIP 56464
Phone 218 564-4101
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 LAURA J. AHLF

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