24D1070668 CLIA NUMBER - ECUMEN SAND PRAIRIE

Laboratory Demographics

  • CLIA Code: 24D1070668
  • Facility Name: ECUMEN SAND PRAIRIE
  • Facility Address: 700 KNIGHT STREET
    ST PETER, MN
    ZIP 56082
  • Facility Phone: 507 931-4375
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TAMI HALEY
  • NPI Number: 1821347477
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1070668
LAB Type Other
Facility Name ECUMEN SAND PRAIRIE
Street 700 KNIGHT STREET
City ST PETER
State MN
ZIP 56082
Phone 507 931-4375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Other
Lab Director TAMI HALEY

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