24D1035152 CLIA NUMBER - PARK LANE ESTATES ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 24D1035152
  • Facility Name: PARK LANE ESTATES ASSISTED LIVING
  • Facility Address: 410 PARK LANE ST
    PRESTON, MN
    ZIP 55965
  • Facility Phone: 507 765-9986
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA THOMPSON
  • NPI Number: 1326226853
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D1035152
LAB Type Assisted Living Facility
Facility Name PARK LANE ESTATES ASSISTED LIVING
Street 410 PARK LANE ST
City PRESTON
State MN
ZIP 55965
Phone 507 765-9986
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Assisted Living Facility
Lab Director REBECCA THOMPSON

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