CLIA lab
CLIA 24D0403795: Bois Forte Medical Clinic Lab
Nett Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0403795 belongs to Bois Forte Medical Clinic Lab in Nett Lake, MN.
Certificate of Compliance, effective May 16, 2026, expires May 15, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- May 16, 2026
- Certificate expiration
- May 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Community clinic
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D0403795
- Lab name
- Bois Forte Medical Clinic Lab
- Address
- 5219 St John's Drive, Nett Lake, MN 55772
- Phone
- (218) 757-3650
- Fax
- (218) 757-0059
Annual test volume the lab reported
- Waived tests
- 1,500
- Other nonwaived tests
- 1,404
- Total
- 2,904
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Bois Forte Medical Clinic Lab in Nett Lake?
24D0403795, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bois Forte Medical Clinic Lab hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 24D0403795 expire?
The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.