24D2216305 CLIA NUMBER - WINONA SENIOR SERVICES DBA ADITH MILLER MANOR

Laboratory Demographics

  • CLIA Code: 24D2216305
  • Facility Name: WINONA SENIOR SERVICES DBA ADITH MILLER MANOR
  • Facility Address: 865 MANKATO AVENUE
    WINONA, MN
    ZIP 55987
  • Facility Phone: 507 457-4579
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KATRINA R. HAMMEL
  • NPI Number: 1821699422
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 24D2216305
LAB Type Assisted Living Facility
Facility Name WINONA SENIOR SERVICES DBA ADITH MILLER 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 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Assisted Living Facility
Lab Director KATRINA R. HAMMEL

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