24D2232050 CLIA NUMBER - MCCORNELL COURT

Laboratory Demographics

  • CLIA Code: 24D2232050
  • Facility Name: MCCORNELL COURT
  • Facility Address: 122 N MCCORNELL AVE
    PARKERS PRAIRIE, MN
    ZIP 56361
  • Facility Phone: 218 338-1001
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY R. KELLY
  • NPI Number: 1700115003
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2232050
LAB Type Assisted Living Facility
Facility Name MCCORNELL COURT
Street 122 N MCCORNELL AVE
City PARKERS PRAIRIE
State MN
ZIP 56361
Phone 218 338-1001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Assisted Living Facility
Lab Director TIMOTHY R. KELLY

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