24D2034833 CLIA NUMBER - PATHSTONE CROSSING

Laboratory Demographics

  • CLIA Code: 24D2034833
  • Facility Name: PATHSTONE CROSSING
  • Facility Address: 718 MOUND AVENUE
    MANKATO, MN
    ZIP 56001
  • Facility Phone: 507 345-4576
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMI HALEY
  • NPI Number: 1679815336
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2034833
LAB Type Assisted Living Facility
Facility Name PATHSTONE CROSSING
Street 718 MOUND AVENUE
City MANKATO
State MN
ZIP 56001
Phone 507 345-4576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Assisted Living Facility
Lab Director TAMI HALEY

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