24D0988015 CLIA NUMBER - PRAIRIE COMMUNITY SERVICES

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CLIA Record

Field Name Field Value
CLIA Number 24D0988015
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name PRAIRIE COMMUNITY SERVICES
Street 801 NEVADA AVENUE SUITE 301
City MORRIS
State MN
ZIP 56267
Phone 320 589-3077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DENNIS E. LINDOR

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