24D2290304 CLIA NUMBER - PRAIRIE GRACE HOSPICE

Laboratory Demographics

  • CLIA Code: 24D2290304
  • Facility Name: PRAIRIE GRACE HOSPICE
  • Facility Address: 1028 N RIVERFRONT DR
    MANKATO, MN
    ZIP 56001
  • Facility Phone: 507 821-0430
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CAITLIN M. OELKE
  • NPI Number: 1962276238
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 24D2290304
LAB Type Hospice
Facility Name PRAIRIE GRACE HOSPICE
Street 1028 N RIVERFRONT DR
City MANKATO
State MN
ZIP 56001
Phone 507 821-0430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Hospice
Lab Director CAITLIN M. OELKE

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