24D2032782 CLIA NUMBER - DIVINE HOUSE INC

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CLIA Record

Field Name Field Value
CLIA Number 24D2032782
LAB Type Other - FOSTER CARE PROVIDER
Facility Name DIVINE HOUSE INC
Street 505 NW 33RD STREET
City WILLMAR
State MN
ZIP 56201
Phone 320 231-2738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Other - FOSTER CARE PROVIDER
Lab Director DEBRA J. SHRIVER

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