24D2189182 CLIA NUMBER - PERHAM LIVING

Laboratory Demographics

  • CLIA Code: 24D2189182
  • Facility Name: PERHAM LIVING
  • Facility Address: 735 3RD STREET SW
    PERHAM, MN
    ZIP 56573
  • Facility Phone: 218 347-1800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRACY A. HENDRICKX
  • NPI Number: 1568476323
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2189182
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PERHAM LIVING
Street 735 3RD STREET SW
City PERHAM
State MN
ZIP 56573
Phone 218 347-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TRACY A. HENDRICKX

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