CLIA lab
CLIA 24D0404587: Gundersen Spring Grove Clinic
Spring Grove, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0404587 belongs to Gundersen Spring Grove Clinic in Spring Grove, MN.
Certificate of Waiver, effective July 30, 2026, expires July 29, 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 Waiver
- Certificate effective
- July 30, 2026
- Certificate expiration
- July 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 24D0404587
- Lab name
- Gundersen Spring Grove Clinic
- Address
- 123 5th Avenue Southeast, Spring Grove, MN 55974
- Phone
- (507) 498-3302
- Fax
- (507) 498-3432
Annual test volume the lab reported
- Waived tests
- 1,997
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Spring Grove, MN
Related
Questions
What is the CLIA number for Gundersen Spring Grove Clinic in Spring Grove?
24D0404587, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gundersen Spring Grove Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0404587 expire?
The CMS file lists July 29, 2028 as the certificate expiration date; the certificate took effect July 30, 2026.