24D1016809 CLIA NUMBER - MENAHGA HOME HEALTH

Laboratory Demographics

  • CLIA Code: 24D1016809
  • Facility Name: MENAHGA HOME HEALTH
  • Facility Address: 427 MAIN STREET NE
    MENAHGA, MN
    ZIP 56464
  • Facility Phone: 218 564-4101
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LAURA J. AHLF
  • NPI Number: 1699838029
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1016809
LAB Type Home Health Agency
Facility Name MENAHGA HOME HEALTH
Street 427 MAIN STREET NE
City MENAHGA
State MN
ZIP 56464
Phone 218 564-4101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Home Health Agency
Lab Director LAURA J. AHLF

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