CLIA lab

CLIA 24D0403966: Lake Superior Community Health Center

Duluth, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D0403966 belongs to Lake Superior Community Health Center in Duluth, MN.

Certificate of Accreditation, effective January 16, 2025, expires January 15, 2027.

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 Accreditation
Certificate effective
January 16, 2025
Certificate expiration
January 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Accrediting organizations
COLA

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D0403966
Lab name
Lake Superior Community Health Center
Address
4325 Grand Avenue Suite 1, Duluth, MN 55807
Phone
(218) 722-1497

Annual test volume the lab reported

Waived tests
7,000
Tests under accreditation
1,270
Total
8,270

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Lake Superior Community Health Center in Duluth?

24D0403966, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Superior Community Health Center hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 24D0403966 expire?

The CMS file lists January 15, 2027 as the certificate expiration date; the certificate took effect January 16, 2025.

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