24D2096260 CLIA NUMBER - ECUMEN DETROIT LAKES THE COTTAGE

Laboratory Demographics

  • CLIA Code: 24D2096260
  • Facility Name: ECUMEN DETROIT LAKES THE COTTAGE
  • Facility Address: 1435 MADISON AVE
    DETROIT LAKES, MN
    ZIP 56501
  • Facility Phone: 218 847-4488
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMI HALEY
  • NPI Number: 1871165142
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2096260
LAB Type Home Health Agency
Facility Name ECUMEN DETROIT LAKES THE COTTAGE
Street 1435 MADISON AVE
City DETROIT LAKES
State MN
ZIP 56501
Phone 218 847-4488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Home Health Agency
Lab Director TAMI HALEY

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