24D2046713 CLIA NUMBER - PRAIRIE HOME HOSPICE & COMMUNITY CARE

Laboratory Demographics

  • CLIA Code: 24D2046713
  • Facility Name: PRAIRIE HOME HOSPICE & COMMUNITY CARE
  • Facility Address: 1108 E COLLEGE DRIVE
    MARSHALL, MN
    ZIP 56258
  • Facility Phone: 507 337-0080
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STACI LUSTFIELD
  • NPI Number: 1255424818
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2046713
LAB Type Hospice
Facility Name PRAIRIE HOME HOSPICE & COMMUNITY CARE
Street 1108 E COLLEGE DRIVE
City MARSHALL
State MN
ZIP 56258
Phone 507 337-0080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Hospice
Lab Director STACI LUSTFIELD

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