CLIA lab
CLIA 24D0404558: Edenbrook Pine Haven
Pine Island, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0404558 belongs to Edenbrook Pine Haven in Pine Island, MN.
Certificate of Waiver, effective June 11, 2025, expires June 10, 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 Waiver
- Certificate effective
- June 11, 2025
- Certificate expiration
- June 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 24D0404558
- Lab name
- Edenbrook Pine Haven
- Address
- 210 3rd St NW, Pine Island, MN 55963
- Phone
- (507) 356-8304
Annual test volume the lab reported
- Waived tests
- 15,250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pine Island, MN
Related
Questions
What is the CLIA number for Edenbrook Pine Haven in Pine Island?
24D0404558, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edenbrook Pine Haven hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0404558 expire?
The CMS file lists June 10, 2027 as the certificate expiration date; the certificate took effect June 11, 2025.