24D2115080 CLIA NUMBER - PINE MANORS INC

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CLIA Record

Field Name Field Value
CLIA Number 24D2115080
LAB Type Other - SLF
Facility Name PINE MANORS INC
Street 22195 STATE 34
City NEVIS
State MN
ZIP 56467
Phone 218 732-4337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Other - SLF
Lab Director RACHEL J. MUELLER

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