24D0671739 CLIA NUMBER - PIONEER HOME INC

Laboratory Demographics

  • CLIA Code: 24D0671739
  • Facility Name: PIONEER HOME INC
  • Facility Address: 1131 SOUTH MABELLE AVE
    FERGUS FALLS, MN
    ZIP 56537
  • Facility Phone: 218 998-1500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NATHAN JOHNSON
  • NPI Number: 1669448254
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0671739
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PIONEER HOME INC
Street 1131 SOUTH MABELLE AVE
City FERGUS FALLS
State MN
ZIP 56537
Phone 218 998-1500
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 NATHAN JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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