24D2244599 CLIA NUMBER - NEW PRAGUE AREA SCHOOLS

Laboratory Demographics

CLIA Number: 24D2244599

Facility Name: NEW PRAGUE AREA SCHOOLS

Facility Address:
410 CENTRAL AVE NORTH
NEW PRAGUE, MN
ZIP 56071
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Facility Phone Number: 952 758-1760

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1154097665

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	24D2244599
LAB Type	School/Student Health Service
Facility Name	NEW PRAGUE AREA SCHOOLS
Street	410 CENTRAL AVE NORTH
City	NEW PRAGUE
State	MN
ZIP	56071
Phone	952 758-1760
CertificateType	4
CertificateEffectiveDate	12/3/2023
CertificateExpirationDate	12/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024