24D1090460 CLIA NUMBER - FAIRWAY PINES SENIOR LIVING COMMUNITIES LLC

Laboratory Demographics

  • CLIA Code: 24D1090460
  • Facility Name: FAIRWAY PINES SENIOR LIVING COMMUNITIES LLC
  • Facility Address: 606 MAIN STREET NORTH
    SAUK CENTRE, MN
    ZIP 56378
  • Facility Phone: 320 351-4900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TRISH HARLOW
  • NPI Number: 1659507077
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1090460
LAB Type Assisted Living Facility
Facility Name FAIRWAY PINES SENIOR LIVING COMMUNITIES LLC
Street 606 MAIN STREET NORTH
City SAUK CENTRE
State MN
ZIP 56378
Phone 320 351-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Assisted Living Facility
Lab Director TRISH HARLOW

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