24D2162850 CLIA NUMBER - PEACEFUL LIVING, FALLBROOKE

Laboratory Demographics

  • CLIA Code: 24D2162850
  • Facility Name: PEACEFUL LIVING, FALLBROOKE
  • Facility Address: 1687 FALLBROOKE DRIVE
    HASTINGS, MN
    ZIP 55033
  • Facility Phone: 715 386-7071
  • Facility Type: Other - GROUP RESIDENTIAL HOUSING
  • Facility Type: Waiver
  • Lab Director: IRENE PREGL
  • NPI Number: 1841443736
  • Taxonomy: 253Z00000X - In Home Supportive Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2162850
LAB Type Other - GROUP RESIDENTIAL HOUSING
Facility Name PEACEFUL LIVING, FALLBROOKE
Street 1687 FALLBROOKE DRIVE
City HASTINGS
State MN
ZIP 55033
Phone 715 386-7071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Other - GROUP RESIDENTIAL HOUSING
Lab Director IRENE PREGL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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