24D0946164 CLIA NUMBER - PERHAM LIVING HOME CARE

Laboratory Demographics

  • CLIA Code: 24D0946164
  • Facility Name: PERHAM LIVING HOME CARE
  • Facility Address: 735 3RD STREET SW
    PERHAM, MN
    ZIP 56573
  • Facility Phone: 218 347-1880
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: APRIL G. AGATHER
  • NPI Number: 1407843691
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D0946164
LAB Type Home Health Agency
Facility Name PERHAM LIVING HOME CARE
Street 735 3RD STREET SW
City PERHAM
State MN
ZIP 56573
Phone 218 347-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Home Health Agency
Lab Director APRIL G. AGATHER

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