24D2327284 CLIA NUMBER - PEACE HEALTHCARE SYSTEMS

Laboratory Demographics

  • CLIA Code: 24D2327284
  • Facility Name: PEACE HEALTHCARE SYSTEMS
  • Facility Address: 8255 GRANGE BOULEVARD
    COTTAGE GROVE, MN
    ZIP 55016
  • Facility Phone: 651 376-3975
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: OLUFUNKE POPOOLA
  • NPI Number: 1326863002
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D2327284
LAB Type Assisted Living Facility
Facility Name PEACE HEALTHCARE SYSTEMS
Street 8255 GRANGE BOULEVARD
City COTTAGE GROVE
State MN
ZIP 55016
Phone 651 376-3975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Assisted Living Facility
Lab Director OLUFUNKE POPOOLA

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