24D1029221 CLIA NUMBER - GRACE HAVEN ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D1029221
  • Facility Name: GRACE HAVEN ASSISTED LIVING
  • Facility Address: 301 EAST 3RD STREET
    MADISON, MN
    ZIP 56256
  • Facility Phone: 320 321-4067
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBORAH L. WERNER
  • NPI Number: 1043589799
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1029221
LAB Type Assisted Living Facility
Facility Name GRACE HAVEN ASSISTED LIVING
Street 301 EAST 3RD STREET
City MADISON
State MN
ZIP 56256
Phone 320 321-4067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Assisted Living Facility
Lab Director DEBORAH L. WERNER

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