24D0930205 CLIA NUMBER - OAHS HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 24D0930205
  • Facility Name: OAHS HOME HEALTH AGENCY
  • Facility Address: 201 MARK DRIVE
    ORTONVILLE, MN
    ZIP 56278
  • Facility Phone: 320 839-4020
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LOIS BANKEN
  • NPI Number: 1013919901
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D0930205
LAB Type Home Health Agency
Facility Name OAHS HOME HEALTH AGENCY
Street 201 MARK DRIVE
City ORTONVILLE
State MN
ZIP 56278
Phone 320 839-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Home Health Agency
Lab Director LOIS BANKEN

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