24D1014473 CLIA NUMBER - DIVINE HOME CARE AND HOSPICE

Laboratory Demographics

  • CLIA Code: 24D1014473
  • Facility Name: DIVINE HOME CARE AND HOSPICE
  • Facility Address: 322 SW 2ND STREET
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 320 231-9757
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JESSICA REIGSTAD
  • NPI Number: 1841215712
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1014473
LAB Type Home Health Agency
Facility Name DIVINE HOME CARE AND HOSPICE
Street 322 SW 2ND STREET
City WILLMAR
State MN
ZIP 56201
Phone 320 231-9757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Home Health Agency
Lab Director JESSICA REIGSTAD

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