24D1033817 CLIA NUMBER - RENVILLE HEALTH SERVICES DBA PRAIRIE VIEW

Laboratory Demographics

  • CLIA Code: 24D1033817
  • Facility Name: RENVILLE HEALTH SERVICES DBA PRAIRIE VIEW
  • Facility Address: 1010 ELM AVENUE EAST
    HECTOR, MN
    ZIP 55342
  • Facility Phone: 320 848-2093
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CAMILLA C. PETERSON-DEVRIES
  • NPI Number: 1780177980
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1033817
LAB Type Assisted Living Facility
Facility Name RENVILLE HEALTH SERVICES DBA PRAIRIE VIEW
Street 1010 ELM AVENUE EAST
City HECTOR
State MN
ZIP 55342
Phone 320 848-2093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Assisted Living Facility
Lab Director CAMILLA C. PETERSON-DEVRIES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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