24D2190644 CLIA NUMBER - LAKE WINONA MANOR

Laboratory Demographics

  • CLIA Code: 24D2190644
  • Facility Name: LAKE WINONA MANOR
  • Facility Address: 865 MANKATO AVENUE
    WINONA, MN
    ZIP 55987
  • Facility Phone: 507 457-4579
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATRINA R. HAMMEL
  • NPI Number: 1962442756
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2190644
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKE WINONA MANOR
Street 865 MANKATO AVENUE
City WINONA
State MN
ZIP 55987
Phone 507 457-4579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATRINA R. HAMMEL

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